1. Home
  2. Directory
  3. Idaho
  4. Bonners Ferry
  5. Emergency Medicine
  6. NPI Profile

STUART KENDALL WILLIS III MD
NPI 1679649396
Emergency Medicine in Bonners Ferry, ID

Active since November 27, 2006
6640 KANIKSU ST, BONNERS FERRY, ID 83805(208) 267-4850(208) 267-2202 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stuart Kendall Willis Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STUART KENDALL WILLIS III MD (NPI 1679649396) is an individual emergency medicine provider in Bonners Ferry, Idaho, licensed in Idaho (M9300) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1679649396
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSTUART KENDALL WILLIS IIICredential: MD
Location Address6640 KANIKSU STBonners Ferry, ID 83805-7532
Mailing AddressHcr 85 Box 8133Bonners Ferry, ID 83805-7532 · (208) 267-6365 · Fax (208) 267-2202
Phone(208) 267-4850
Fax(208) 267-2202
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1679649396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · M9300
Definition
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.
6640 KANIKSU ST, Bonners Ferry, ID 83805
Open in Google Maps ↗

Other Names 1

Other Name (5)Henry Stuart Kendall Willis Md

Other Identifiers 1

OtherM9300ID · Id B Of M

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RILEY DIEHL DO
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
MARK PRUITT D.O.
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
BOUNDARY COMMUNITY HOSPITAL
Pharmacy (Long Term Care Pharmacy)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-4850
BOUNDARY COMMUNITY HOSPITAL
Skilled Nursing Facility
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-4850
MATTHEW WALLACE JOHNSON DO
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
ROBERT YOST MD
Emergency Medicine
6640 KANIKSU ST, BOUNDAR COMMUNITY HOSPITAL
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
DR. WILLIAM PAUL DIEHL IV D.O.
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
MRS. MELANIE HELMS RN
Registered Nurse (Medical-Surgical)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stuart Willis's NPI number?

The NPI number for Stuart Willis is 1679649396. It was assigned to this individual provider in the NPPES registry on November 27, 2006. The provider is also known as Henry Stuart Kendall Willis MD.

Where is Stuart Willis located?

Stuart Willis practices at 6640 Kaniksu St, Bonners Ferry, ID 83805. The listed phone number is (208) 267-4850.

What is Stuart Willis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Stuart Willis was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.