DR. JAY WARREN WILLEY (NPI# 1922029412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922029412 |
| Entity Type | Individual |
| Full Name | DR. JAY WARREN WILLEY |
| Credential | DO |
| Practice Address |
495 Yellowstone Ave Pocatello ID 83201-4531 |
| Mailing Address |
269 Jacob St Chubbuck ID 83202-2009 |
| Practice Telephone | 2084787422 |
| Practice Fax Number | 2084781515 |
| Mailing Telephone | 2086378146 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | O314 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891714531 | Jay D. Willey | Internal Medicine | 3250 Gordonville Rd, Suite 301, Cape Girardeau, MO 63703-5056 | 2006-07-19 |
| Street Address |
495 YELLOWSTONE AVE |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376568493 | Randy Paul Vawdrey | Nurse Practitioner | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-12 |
| 1144869348 | Sydney Pia Goings | Nurse Practitioner | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2020-01-06 |
| 1972035772 | Mvh Pic LLC | Family Medicine | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2017-03-30 |
| 1336572858 | Brelan J Lane | Physical Therapist | 495 Yellowstone Ave, Suite A, Pocatello, ID 83201-4531 | 2013-08-20 |
| 1932449519 | Matthew Colt Andersen | Counselor | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2013-02-19 |
| 1437432267 | Advanced Healthcare Solutions, LLC | Non-Pharmacy Dispensing Site | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2011-09-28 |
| 1558545624 | Charlynn S. Perkes | Physician Assistant | 495 Yellowstone Ave, Physicians Immediate Care Center, Pocatello, ID 83201 | 2007-12-24 |
| 1841487840 | Nic A Hale | Physician Assistant | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2007-10-03 |
| 1578665329 | Corey Layne Rasmussen | Specialist | 495 Yellowstone Ave, Suite A, Pocatello, ID 83201-9487 | 2006-09-02 |
| 1700803632 | Advanced Healthcare Solutions LLC | Clinic/Center | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891234332 | Clair Enterprises Inc | Family Medicine | 2552 Oneida St, Pocatello, ID 83201-2145 | 2017-02-16 |
| 1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
| 1093078578 | Sharla Clark | Family Medicine | 1951 Bench Road, Suite B, Pocatello, ID 83201-4008 | 2012-06-20 |
| 1508194580 | Jared M Kam | Family Medicine | 353 N 4th Ave Ste 102, Pocatello, ID 83201-6391 | 2009-12-02 |
| 1417118787 | Lavonne R. Mills, Md | Family Medicine | 3307 N Stephanie Rd, Pocatello, ID 83204-7285 | 2008-06-19 |
| 1801926035 | Jack Pearson Summers | Family Medicine | 5418 W Buckskin Rd, Pocatello, ID 83201-9126 | 2007-03-06 |
| 1053483669 | Mountain View Family Medicine, Inc | Family Medicine | 2006 Birdie Thompson Dr, Pocatello, ID 83201-2768 | 2006-11-15 |
| 1093884363 | Jared Michael Price | Family Medicine | 1951 Bench Rd Ste B, Pocatello, ID 83201-2073 | 2006-11-08 |
| 1225124936 | Jordan Lyle Bailey | Family Medicine | 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 | 2006-10-04 |
| 1396796199 | Gary Walker Kearl | Family Medicine | 444 Hospital Way Suite 801, Pocatello Va Outpatiend Clinic, Pocatello, ID 83201 | 2006-05-15 |
| Find all providers in POCATELLO | ||||
Please comment or provide details below to improve the information on DR. JAY WARREN WILLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.