NPIMap

Individual provider Active NPI

William Wade Stoddard, M.D.

  • Ophthalmology Physician
  • Kalispell, MT
National Provider Identifier
1831549187
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
131653 Issued in MT
Practice address
175 Timberwolf Pkwy
Kalispell, MT 59901-1218
Phone
(406) 257-2020
Fax
(406) 257-5554
NPI assigned
Jun 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 131653 MT Primary

Addresses

Primary practice location

175 Timberwolf Pkwy
Kalispell, MT 59901-1218

Mailing address

175 Timberwolf Pkwy
Kalispell, MT 59901-1218
Phone (406) 257-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WA, MT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200422000380 UT Practitioner - Ophthalmology 2365872918 Reassigns benefits to 1 organization
I20210809003586 WA Practitioner - Ophthalmology 2365872918 Reassigns benefits to 1 organization
I20240327000004 MT Practitioner - Ophthalmology 2365872918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Colorado School of Medicine, Denver, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacier Eye Clinic PCGroup PAC ID 5193728293, 12 clinicians

Practice addresses (Care Compare)

175 Timberwolf Pkwy
Kalispell, MT 59901-1218
Phone (406) 257-2020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery335
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wenatchee Valley Hospital CurrentSince Aug 1, 2021 Accepting new patients
Wenatchee Valley Hospital Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 14, 2020 Accepting new patients
Glacier Eye Clinic PC Ophthalmology CurrentSince May 1, 2024 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 14, 2020 Accepting new patients
Glacier Surgical Inc. PastSince Feb 24, 2022 Accepting new patients

Locations

155 Timberwolf Pkwy
Kalispell, MT 59901
Phone (866) 991-9030

175 Timberwolf Pkwy
Kalispell, MT 59901
Phone (406) 257-2020

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

Interoperability endpoints

  • Direct secure messaging: wstoddard@glaciereye.intellechartdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1831549187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TIMBERWOLF PKWY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011218",
            "telephone_number": "406-257-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TIMBERWOLF PKWY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011218",
            "telephone_number": "406-257-2020",
            "fax_number": "406-257-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "WILLIAM",
        "middle_name": "WADE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MT",
            "license": "131653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.