Active NPI
James Thomas Willmore, DPM
- Foot & Ankle Surgery Podiatrist
- Providence, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 11690691-0501
- Practice address
- 435 N Gateway Dr Ste 801
Providence, UT 84332-9004 - Phone
- (435) 787-1023
- NPI assigned
- Mar 23, 2017
- Last updated
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 11690691-0501 | UT | Primary |
Addresses
Primary practice location
435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Mailing address
435 N Gateway Dr Ste 801
Providence, UT 84332-9004
Phone (435) 787-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
435 N Gateway Dr
Suite 801
Providence, UT 84332-9004
Phone (435) 787-1023
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Quality
- 92.59
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 55 |
| Removal of skin lesions | 11 |
| Removal of nail tissue | 671 |
| Removal or shaving of skin growth | 184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J Huff Podiatry DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
272 N Spring Creek Pkwy
Providence, UT 84332
Phone (435) 760-7313
435 N Gateway Dr
Ste 801
Providence, UT 84332
Phone (435) 787-1023
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.
-
dba Foot & Ankle Center of Cache Valley
- Foot & Ankle Surgery Podiatrist
- Providence, UT
- NPI 1750580643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Logan Regional Hospital
- General Acute Care Hospital
- Logan, UT
- NPI 1831108497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1770014516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N GATEWAY DR STE 801",
"city": "PROVIDENCE",
"state": "UT",
"postal_code": "843329004",
"telephone_number": "435-787-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N GATEWAY DR STE 801",
"city": "PROVIDENCE",
"state": "UT",
"postal_code": "843329004",
"telephone_number": "435-787-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMORE",
"first_name": "JAMES",
"middle_name": "THOMAS",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "11690691-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.