Individual provider Active NPI

William Scott Stano, DPM

  • Podiatrist
  • Boise, ID
National Provider Identifier
1063426948
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P114 Issued in ID
Practice address
220 W Jefferson St
Boise, ID 83702-6044
Phone
(208) 343-8907
Fax
(208) 343-9161
NPI assigned
Jul 28, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P114 ID Primary

Addresses

Primary practice location

220 W Jefferson St
Boise, ID 83702-6044

Mailing address

220 W Jefferson St
Boise, ID 83702-6044
Phone (208) 343-8907

Other identifiers 2

IdentifierTypeStateIssuer
480004412OtherIDRAILROAD MEDICARE
000448700MedicaidID

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507001257 ID Practitioner - Podiatry 6204825987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Illinois Medical College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 W Jefferson St
The Walking Center
Boise, ID 83702-6044
Phone (208) 343-8907

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P114IDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. William Stano Podiatrist CurrentSince May 19, 2003 Accepting new patients
Walkwell Walking Center, LLC Current Accepting new patients
Gem Vision, PC PastSince Mar 7, 2021 Accepting new patients

Locations

220 W Jefferson St
Boise, ID 83702
Phone (208) 343-3802

316 S Washington Ave
Emmett, ID 83617
Phone (208) 343-8907

840 N 4th E
Mountain Home, ID 83647
Phone (208) 587-1850

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1063426948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026044",
            "telephone_number": "208-343-8907",
            "fax_number": "208-343-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026044",
            "telephone_number": "208-343-8907",
            "fax_number": "208-343-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANO",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480004412",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000448700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.