Active NPI
William Woodhouse, MD
- Family Medicine Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-6624
- Practice address
- 465 Memorial Dr
Pocatello, ID 83201-4008 - Phone
- (208) 234-4700
- Fax
- (844) 492-9736
- NPI assigned
- Jan 9, 2007
- Last updated
- Apr 7, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M6624 | WY | |
| Family Medicine Physician | 207Q00000X | M-6624 | ID | Primary |
Addresses
Primary practice location
465 Memorial Dr
Pocatello, ID 83201-4008
Mailing address
651 Memorial Dr
Pocatello, ID 83201-4071
Phone (208) 239-2110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003996800 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
465 Memorial Dr
Pocatello, ID 83201-4008
Phone 20823278621122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-6624 | ID | MD | Family Medicine Physician |
| M6624 | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health West, Inc. | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Health West, Inc. | Current | Accepting new patients | |
| Pocatello Hospital LLC | Current | Accepting new patients | |
| Health West, Inc. | Past | Accepting new patients | |
| Health West, Inc. | Family Medicine | Past | Accepting new patients |
| Health West, Inc. | Past | Accepting new patients | |
| Health West, Inc. | Past | Accepting new patients | |
| Health West, Inc. | Family Medicine | Past | Accepting new patients |
| Health West, Inc. | Family Medicine | Past | Accepting new patients |
Locations
823 Reed St
American Falls, ID 83211
Phone (208) 226-2822
152 S 4th St
Montpelier, ID 83254
Phone (208) 847-2108
1000 N 8th Ave
Pocatello, ID 83201
Phone (208) 232-3368
1001 N 7th Ave
Ste 135
Pocatello, ID 83201
Phone (208) 234-2489
465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700
500 S 11th Ave
Ste 204
Pocatello, ID 83201
Phone (208) 232-1443
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
880 W Quinn Rd
Pocatello, ID 83202
Phone (208) 238-2000
655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122
Interoperability endpoints
- bwoodhouse262062@ahs.direct-ci.com
- william.woodhouse.1@16258.direct.athenahealth.com
Organizations & group practices 16
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.
-
dba Health West Preston Clinic
- Federally Qualified Health Center (FQHC)
- Preston, ID
- NPI 1033595541
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
dba Health West Pocatello Clinic
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1154320752
Family Medicine
-
dba Health West Aberdeen Clinic
- Federally Qualified Health Center (FQHC)
- Aberdeen, ID
- NPI 1295734796
Family Medicine
-
dba Health West Downey Clinic
- Federally Qualified Health Center (FQHC)
- Downey, ID
- NPI 1588666945
Family Medicine
-
dba Health West American Falls Clinic
- Federally Qualified Health Center (FQHC)
- American Falls, ID
- NPI 1629077235
Family Medicine
-
dba Sryinga Elementary School
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1740143882
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
dba Portneuf Medical Practices
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
-
- Internal Medicine Physician
- Pocatello, ID
- NPI 1760610935
-
dba Health West City Center
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1013547801
-
dba Health West Lava Clinic
- Federally Qualified Health Center (FQHC)
- Lava Hot Springs, ID
- NPI 1427057926
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1760531859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 MEMORIAL DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014071",
"telephone_number": "208-239-2110",
"fax_number": "208-239-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 MEMORIAL DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014008",
"telephone_number": "208-234-4700",
"fax_number": "844-492-9736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODHOUSE",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "M6624",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-6624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003996800",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.