STUART K. WILLIS, III MD – NPI #1679649396
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

STUART WILLIS, III is a physician located in BONNERS FERRY, ID. NPPES has assigned the NPI number 1679649396 to STUART WILLIS, III on November 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name HENRY STUART KENDALL WILLIS, III. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STUART WILLIS, III below.

NPI Profile for
STUART K. WILLIS, III

NPI Number
1679649396
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
STUART K. WILLIS, III
Other Name: HENRY STUART KENDALL WILLIS, III
Credentials
MD
Primary location
6640 KANIKSU ST
BONNERS FERRY, ID 83805-7532
Phone: (208) 267-4850 Fax: (208) 267-2202
Mailing address
HCR 85 BOX 8133
BONNERS FERRY, ID 83805-7532
Phone: (208) 267-6365 Fax: (208) 267-2202
Sole Proprietor
No
Updated
Identifiers

Identifiers for STUART WILLIS, III

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherID B OF MIDM9300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
ID M9300

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.