DR. SILAS ANGIER WILLS JR. (NPI# 1578675443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578675443 |
| Entity Type | Individual |
| Full Name | DR. SILAS ANGIER WILLS JR. |
| Credential | MD |
| Practice Address |
1950 E Clark St Ste A Pocatello ID 83201 |
| Mailing Address |
Pob 4948 1950 E Clark St Ste A Pocatello ID 83201 |
| Practice Telephone | 2082325550 |
| Practice Fax Number | 2082325553 |
| Mailing Telephone | 2082325550 |
| Mailing Fax Number | 2082325553 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
M6899 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1950 E CLARK ST STE A |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023074739 | Cheryl E Rodnick | Occupational Therapist | 1950 E Clark St, Stf, Pocatello, ID 83201-3314 | 2006-04-21 |
| 1083983647 | Michael J. Gregson, M.d., P.a. | Specialist | 1950 E Clark St, Suite C, Pocatello, ID 83201-3314 | 2011-12-27 |
| 1750691929 | Cassidi B Waterman | Nurse Anesthetist, Certified Registered | 1950 E Clark St, Suite G, Pocatello, ID 83201-3314 | 2010-10-20 |
| 1134279920 | Steve M Skoumal | Pathology | 1950 E Clark St, Suite D, Pocatello, ID 83201-3314 | 2007-01-12 |
| 1184788226 | Shirley Yellowhair | Specialist/Technologist, Other | 1950 E Clark St, Ste A, Pocatello, ID 83201 | 2006-12-21 |
| 1053361980 | Karen Doncouse | Registered Nurse | 1950 E Clark St, Suite G, Pocatello, ID 83201-3314 | 2006-05-11 |
| 1700836418 | Gary R Johanson | Registered Nurse | 1950 E Clark St, Suite G, Pocatello, ID 83201-3314 | 2006-05-11 |
| 1568412278 | Dale T Knievel | Registered Nurse | 1950 E Clark St, Suite G, Pocatello, ID 83201-3314 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, 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. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417155284 | Stephen M Maloff Md Pa | Plastic Surgery | 1950 E Clark Street, Suite A, Pocatello, ID 83205 | 2007-07-03 |
| 1316059280 | Stephen M Maloff | Plastic Surgery | 2240 E Center St, Pocatello, ID 83201 | 2006-08-31 |
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| 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.