Individual provider Active NPI

William Scott Huneycutt, M.D.

  • Neurological Surgery Physician
  • Pocatello, ID
National Provider Identifier
1003800699
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M7793 Issued in ID
Practice address
2240 E Center St
Pocatello, ID 83201
Phone
(208) 233-8344
Fax
(208) 233-6983
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X M7793 ID Primary

Addresses

Primary practice location

2240 E Center St
Pocatello, ID 83201

Mailing address

2240 E Center St
Pocatello, ID 83201
Phone (208) 233-8344

Other identifiers 1

IdentifierTypeStateIssuer
805492000MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000353 ID Practitioner - Neurosurgery 0648284356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Virginia Commonwealth University, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians
Bingham Memorial HospitalGroup PAC ID 8426955014, 68 clinicians

Practice addresses (Care Compare)

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

850 Yellowstone Ave
Pocatello, ID 83201-4415
Phone (208) 239-8065

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion28
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M7793IDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. CurrentSince Jan 1, 2009 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH Inc. CurrentSince Jan 1, 2009 Accepting new patients
BMH Inc CurrentSince Jan 1, 2009 Accepting new patients
BMH Inc. Past Accepting new patients
Dr. Farrell, LLC Past Accepting new patients
Intermountain Neurosurgery, P.a. Neurological Surgery Past Accepting new patients

Locations

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

98 Poplar St
Fl 3
Blackfoot, ID 83221

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

2375 E Sunnyside Rd
Ste F
Idaho Falls, ID 83404
Phone (208) 217-9099

285 Vista Dr
Ste D
Pocatello, ID 83201
Phone (208) 232-6060

1151 Hospital Way
#D100
Pocatello, ID 83201
Phone (208) 239-8010

850 Yellowstone Ave
Ste B
Pocatello, ID 83201
Phone (208) 239-8066

1151 Hospital Way
Ste D100
Pocatello, ID 83201

Interoperability endpoints

  • Direct secure messaging: williamhuneycutt@bmh.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1003800699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-233-8344",
            "fax_number": "208-233-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-233-8344",
            "fax_number": "208-233-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNEYCUTT",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ID",
            "license": "M7793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805492000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.