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

NPI Status: Active since November 27, 2006

Contact Information

6640 KANIKSU ST
BONNERS FERRY, ID
ZIP 83805
Phone: (208) 267-4850
Fax: (208) 267-2202

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  • Individual
  • Male
  • Emergency Medicine

About STUART WILLIS

This page provides the complete NPI Profile along with additional information for Stuart Willis, a provider established in Bonners Ferry, Idaho with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1679649396 assigned on November 2006. The practitioner's primary taxonomy code is 207P00000X with license number M9300 (ID). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1679649396
Provider Name
STUART KENDALL WILLIS III MD
Other Name
HENRY STUART KENDALL WILLIS III MD
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
6640 KANIKSU ST BONNERS FERRY, ID 83805
Location Phone
(208) 267-4850
Location Fax
(208) 267-2202
Mailing Address
HCR 85 BOX 8133 BONNERS FERRY, ID 83805
Mailing Phone
(208) 267-6365
Mailing Fax
(208) 267-2202
Is Sole Proprietor?
No
Enumeration Date
11-27-2006
Last Update Date
03-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
M9300
License State
ID
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
M9300OTHER (01)IDID B OF M

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679649396, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 2 + 4 + 1 + 8 + 3 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1679649396.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
6640 KANIKSU ST, BOUNDAR COMMUNITY HOSPITAL
BONNERS FERRY, ID 83805
Dietitian, Registered
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Physical Therapist
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Pharmacy (Long Term Care Pharmacy)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Skilled Nursing Facility
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Medicare Defined Swing Bed Unit
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Pharmacy (Institutional Pharmacy)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Emergency Medicine (Emergency Medical Services)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
General Acute Care Hospital (Critical Access)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Family Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Occupational Therapist
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Family Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Registered Nurse (Medical-Surgical)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679649396, enumerated as an "individual" on November 27, 2006.

The provider is located at 6640 KANIKSU ST BONNERS FERRY, ID 83805 and the phone number is (208) 267-4850.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.