Scott Donald Willoughby (NPI# 1457897852, PAC ID# 1951685866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457897852 |
| PAC ID by PECOS | 1951685866 |
| Professional Enrollment ID | I20170221000909 |
| Full Name | Scott Donald Willoughby |
| Organization Legal Name | PIONEER FAMILY MEDICINE PLLC |
| Address |
13150 W Persimmon Lane Boise ID 83713-1986 |
| Phone Number | 2089383663 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193877850 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 131318 | VALOR HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 13150 W Persimmon Lane, Boise, ID 83713-1986 | 2089383663 | PIONEER FAMILY MEDICINE PLLC |
| Organization Legal Name | PIONEER FAMILY MEDICINE PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Ludwig | Family Medicine | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Natalie A Domangue-shiflett | Family Medicine | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Julie J Franden | Nurse Practitioner | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Aaron D Moorhouse | Family Medicine | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Josie F Farmer | Nurse Practitioner | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Laura Curran | Nurse Practitioner | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Street Address |
13150 W PERSIMMON LANE |
| City | BOISE |
| State | ID |
| Zip | 83713-1986 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Ludwig | Family Medicine | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Natalie A Domangue-shiflett | Family Medicine | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Julie J Franden | Nurse Practitioner | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Aaron D Moorhouse | Family Medicine | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Josie F Farmer | Nurse Practitioner | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Laura Curran | Nurse Practitioner | Pioneer Family Medicine Pllc | 13150 W Persimmon Lane, Boise, ID 83713-1986 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kory L Kreusel | Chiropractic | 5418 N Eagle Rd, Suite 120, Boise, ID 83713-0103 | |
| Nicole Anna Thomas | Optometry | Mcneel Eye Center, Inc. | 4270 N Eagle Rd, Boise, ID 83713-0726 |
| Brian J Mcneel | Optometry | Mcneel Eye Center, Inc. | 4270 N Eagle Rd, Boise, ID 83713-0726 |
| Matthew J Ogle | Chiropractic | 13999 W Wainwright Dr, Suite 201, Boise, ID 83713-0727 | |
| Scott D Fletcher | Chiropractic | 5246 N Eagle Rd, Boise, ID 83713-0945 | |
| Joseph Blampied | Chiropractic | Fletcher Chiropractic Pllc | 5246 N Eagle Rd, Boise, ID 83713-0945 |
| Jillaine D Stmichel | Chiropractic | Fletcher Chiropractic Pllc | 5246 N Eagle Rd, Boise, ID 83713-0945 |
| Keri Erland | Internal Medicine | 6023 N Eagle Rd, Boise, ID 83713-0997 | |
| Mariya R Ostermiller | Physician Assistant | Treasure Valley Dermatology and Skin Cancer Center, Pllc | 6051 N Eagle Rd, Boise, ID 83713-0997 |
| Dustin Ray Portela | Dermatology | Treasure Valley Dermatology and Skin Cancer Center, Pllc | 6051 N Eagle Rd, Boise, ID 83713-0997 |
| Find all physicians in zip 83713 | |||
| City | BOISE |
| Zip Code | 83713 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOISE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Scott Donald Willoughby.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.