DR. WILLIAM P.D. WILSON III (NPI# 1447368758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447368758 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM P.D. WILSON III |
| Credential | M.D. |
| Practice Address |
2860 Channing Way Suite 112 Idaho Falls ID 83404-7531 |
| Practice Telephone | 2085244381 |
| Practice Fax Number | 2085236477 |
| Mailing Telephone | 2085244381 |
| Mailing Fax Number | 2085236477 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2015-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | M-5527 | ID | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
M-5527 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1437563293 | William Scot Wilson | Pharmacist | 285 Dunlop Blvd Sw, Suite A, Huntsville, AL 35824-1119 | 2014-06-19 |
| 1003188517 | William Carrel Wilson | Veterinarian | 1599 Major Ave, Riverton, WY 82501-2326 | 2012-01-30 |
| 1477889632 | William Lee Wilson | Massage Therapist | 9900 Sw Wilshire St # 190g, Portland, OR 97225-5035 | 2009-10-22 |
| 1144469644 | William Jarrett Wilson | Registered Nurse | 1554 Ainsworth Ln, Lincoln, CA 95648-3233 | 2009-02-07 |
| 1750570925 | William H Wilson | Chiropractor | 3701 Division St, Suite 131, Metairie, LA 70002-4617 | 2007-10-23 |
| 1316156417 | William Thomas Wilson | Social Worker | 455 Bay St, Suite F, Petoskey, MI 49770-4401 | 2007-05-22 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1336269208 | William Wilson | Ophthalmology | 415 Lakewood Dr, Hamilton, GA 31811-3636 | 2007-04-02 |
| 1902939267 | William Allen Wilson | Internal Medicine | 9261 Old Keene Mill Rd, Burke, VA 22015 | 2007-03-14 |
| Street Address |
2860 CHANNING WAY SUITE 112 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896717 | Brian E O'byrne | Surgery | 2860 Channing Way, Ste 117, Idaho Falls, ID 83404-7532 | 2005-07-21 |
| 1114447406 | Brandi Jo Smith | Nurse Practitioner | 2860 Channing Way, Suite 115, Idaho Falls, ID 83404 | 2017-06-27 |
| 1801288782 | Rocky Mountain Holdings, LLC | Ambulance | 2860 Channing Way, #206, Idaho Falls, ID 83404 | 2015-03-02 |
| 1831435163 | Idaho Behavioral Health Services, LLC | Psychiatry & Neurology | 2860 Channing Way, #100, Idaho Falls, ID 83404 | 2012-12-13 |
| 1679818025 | Eastern Idaho Regional Medical Center Inpatient Services, LLC | Internal Medicine | 2860 Channing Way, Suite 100, Idaho Falls, ID 83404-7531 | 2012-12-11 |
| 1013271899 | Joseph Murdock Strobel | Internal Medicine | 2860 Channing Way, Suite 213, Idaho Falls, ID 83404-7541 | 2012-06-27 |
| 1205125259 | Emily Ann Cowles | Dietitian, Registered | 2860 Channing Way, Suite 115, Idaho Falls, ID 83404-7531 | 2011-03-30 |
| 1376858878 | East Falls Cardiovascular and Thoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2860 Channing Way, Ste 112, Idaho Falls, ID 83404-7532 | 2010-08-10 |
| 1104065861 | R.k. Arbon, M.d., P.a. | Family Medicine | 2860 Channing Way, Suite 116, Idaho Falls, ID 83404-7531 | 2009-02-19 |
| 1023267895 | East Falls Plastic Surgery LLC | Plastic Surgery | 2860 Channing Way, Suite 114a, Idaho Falls, ID 83404-7531 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902228737 | Mark E Freeman M.d. PC | Plastic Surgery | 3760 Washington Parkway, Idaho Falls, ID 83404 | 2014-01-14 |
| 1831534924 | Mark E Freeman Md PC | Plastic Surgery | 3760 Washington Pkwy, Idaho Falls, ID 83404-7593 | 2013-05-03 |
| 1023267895 | East Falls Plastic Surgery LLC | Plastic Surgery | 2860 Channing Way, Suite 114a, Idaho Falls, ID 83404-7531 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467704049 | Bruce Alan Kaplan | Plastic Surgery | 190 Bigwood Drive South, Ketchum, ID 83340 | 2012-10-08 |
| 1043578115 | David Lyons Dingman | Plastic Surgery | 10 Lone Pine Rd, Hailey, ID 83333-5172 | 2012-04-26 |
| 1730450016 | Michael Gregory Pugsley-christensen | Plastic Surgery | 4790 Inverness Drive, Post Falls, ID 83854 | 2012-01-19 |
| 1184899973 | Russell H Griffiths Md Pa | Plastic Surgery | 100 E Idaho St Ste 303, Boise, ID 83712-6269 | 2008-04-23 |
| 1841307147 | Thomas D Mckim | Plastic Surgery | 900 N Liberty St Ste 300, Boise, ID 83704-8729 | 2006-08-23 |
| 1770589814 | Dell P Smith | Plastic Surgery | 1880 Fillmore St, Twin Falls, ID 83301-3049 | 2005-06-23 |
| 1245779412 | Bmh, Inc. | Plastic Surgery | 285 Vista Dr, Ste. E, Pocatello, ID 83201-4987 | 2017-02-21 |
| 1245645589 | Jason Nealy | Plastic Surgery | 4305 N Eagle Rd, Boise, ID 83713-4722 | 2014-06-25 |
| 1487958161 | Susan J. Hegstad, M.d., Pa | Plastic Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2011-01-10 |
| 1003125758 | Jordan E Miller | Plastic Surgery | 777 N Raymond St, Boise, ID 83704-9251 | 2010-09-29 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on DR. WILLIAM P.D. WILSON III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.