Individual provider Active NPI

Silas Angier Wills Jr., MD

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Pocatello, ID
National Provider Identifier
1578675443
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
M6899 Issued in ID
Practice address
240 N 18TH Ave Ste 2
Pocatello, ID 83201-3324
Phone
(208) 232-5550
Fax
(208) 232-5553
NPI assigned
Aug 31, 2006
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X M6899 ID Primary

Addresses

Primary practice location

240 N 18TH Ave Ste 2
Pocatello, ID 83201-3324

Mailing address

240 N 18TH Ave Ste 2
Pocatello, ID 83201-3324
Phone (208) 232-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 9, 2018 through Aug 9, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6899IDMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M Maloff MD PA Plastic Surgery Within the Head and Neck Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: awills261949@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIHACA/Endpoint/FIHACA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1578675443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N 18TH AVE STE 2",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013324",
            "telephone_number": "208-232-5550",
            "fax_number": "208-232-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N 18TH AVE STE 2",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013324",
            "telephone_number": "208-232-5550",
            "fax_number": "208-232-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "SILAS",
        "middle_name": "ANGIER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "ID",
            "license": "M6899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.