Individual provider Active NPI

William Emmett Armour III, M.D.

  • Pulmonary Disease Physician
  • Idaho Falls, ID
National Provider Identifier
1164527925
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
M4394 Issued in ID
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

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000323500MedicaidID

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
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

LicenseStateTypeSpecialty
M4394IDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mark'S Professional Services, LLC Pulmonary Disease CurrentSince Oct 1, 2012 Accepting new patients
Teton Cardiovascular and Pulmonary Lab,LLC CurrentSince May 1, 2005 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.

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

Verify at the official NPI Registry.