Active NPI
William Emmett Armour III, M.D.
- Pulmonary Disease Physician
- Idaho Falls, ID
National Provider Identifier
1164527925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- M4394
- Practice address
- 2001 S Woodruff Ave
Suite 12a
Idaho Falls, ID 83404-6374 - Phone
- (208) 529-2440
- Fax
- (208) 529-0359
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | M4394 | ID | |
| Pulmonary Disease Physician | 207RP1001X | M4394 | ID | Primary |
Addresses
Primary practice location
2001 S Woodruff Ave
Suite 12a
Idaho Falls, ID 83404-6374
Mailing address
2001 S Woodruff Ave
Ste 12a
Idaho Falls, ID 83404-6372
Phone (208) 529-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000323500 | Medicaid | ID |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100628001012 | ID | Practitioner - Pulmonary Disease | 7315985462 |
Reassigns benefits to 1 organization Practice locations: Idaho Falls, ID |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4394 | ID | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mark'S Professional Services, LLC | Pulmonary Disease | Current | Accepting new patients |
| Teton Cardiovascular and Pulmonary Lab,LLC | Current | Accepting new patients | |
| Radial First Holdings | Past | Accepting new patients |
Locations
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
2001 S Woodruff Ave
Ste 12B
Idaho Falls, ID 83404
Phone (208) 529-2498
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1912925629
ID, Pulmonary Disease
-
- Physiological Laboratory
- Idaho Falls, ID
- NPI 1699784413
-
- Interventional Cardiology Physician
- Idaho Falls, ID
- NPI 1346713302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1164527925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S WOODRUFF AVE",
"address_2": "STE 12A",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046372",
"telephone_number": "208-529-2440",
"fax_number": "208-529-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S WOODRUFF AVE",
"address_2": "SUITE 12A",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046374",
"telephone_number": "208-529-2440",
"fax_number": "208-529-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMOUR",
"first_name": "WILLIAM",
"middle_name": "EMMETT",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "M4394",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ID",
"license": "M4394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000323500",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.