William Henry Detar, DO
Individual provider Active NPI Otolaryngology Physician · Salida, CO
NPI 1497311435 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1497311435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- O-1494 (ID)
- Practice address
- 1000 Rush Dr
Salida, CO 81201-9627 - Phone
- (719) 530-2200
- Fax
- (719) 539-5068
- NPI assigned
- May 15, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greenwood Ear Nose and Throat Specialists PC
Salida Hospital District
St Josephs Ear Nose and Throat Clinic PLLC
Practice addresses (Care Compare)
1619 N Greenwood St
Suite 309
Pueblo, CO 81003-2657
Phone (719) 544-7115
28374 County Rd
Buena Vista, CO 81211-9158
Phone (719) 395-9048
849 N Syringa St
Post Falls, ID 83854-8794
Phone (208) 777-1320
Hospital & facility affiliations
- Heart of the Rockies Regional Medical Center
- St Mary-Corwin Hospital
- Kootenai Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241114003550 | ID | Practitioner - Otolaryngology | 3577925163 | Reassigns benefits to 2 organizations |
| I20251031000046 | CO | Practitioner - Otolaryngology | 3577925163 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1494 | ID | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Ear Nose and Throat Clinic PLLC | Current |
Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Kootenai Health, Inc. | Current |
Accepting new patients | |
| Greenwood Ear Nose & Throat Specialists PC | Otolaryngology | Current |
Accepting new patients |
| Poudre Valley Medical Group, LLC | General Practice | Past | Accepting new patients |
Locations
1619 N Greenwood St
Ste 309
Pueblo, CO 81003
Phone (719) 544-7115
2288 N Merritt Creek Loop
Ste 100
Coeur D Alene, ID 83814
Phone (208) 215-2284
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
849 N Syringa St
Post Falls, ID 83854
Phone (208) 777-1320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | O-1494 | ID | |
| Otolaryngology Physician | 207Y00000X | O-1494 | ID | Yes |
Addresses
Primary practice location
1000 Rush Dr
Salida, CO 81201-9627
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (210) 292-5077
Other providers in Salida, CO
- Gabrielle Day
- Sarah Deleon Guerrero
- Laura Ann Deloatch
- Stacy Denoyer
- Denver Vamc
- Developmental Opportunities
- Thomas Michael Deyton
- Iris Jeanette Diaz Cassidy
- Luz Stella Diaz-Porter
- Nicole Frances Diaz
All providers in Salida, CO · Otolaryngology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.