Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. William P.d. Wilson III, MD

Individual provider Plastic Surgery Physician · NPI 1447368758

Dr. William P.d. Wilson III, MD is a Plastic and Reconstructive Surgery in Idaho Falls, Idaho. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
44
Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2860 Channing Way Ste 112
Idaho Falls, ID 83404-7531
Phone: (208) 524-4381
Fax: (208) 523-6477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence M-5527 (ID)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence M-5527 (ID)

Record details

NPI number1447368758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 27, 2006
Last updated in NPPESFebruary 20, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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