P Praxis·MD
● Active Type 2 · Organization

William Eder MD

Family Medicine·Ammon, ID· NPI 1235472895 · Enumerated 2013 · 13 years on NPI
William Eder MD is 1 of 1691 family medicine organizations in Idaho.
NPI age
13 years
Enumerated 2013-04-02
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davenport
Billing
Last NPPES update
2013-04-02
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
13 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
3040 E 17th St Ste A
Ammon, ID 834066760
📞 2085570998
Mailing address
3040 E 17th St Ste A
Ammon, ID 834066760
📞 2085570998

Authorized official

Katie Davenport
Billing
📞 2085202636

Specialties

  • Family Medicine Primary
    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...
    ID license #M3801 taxonomy 207Q00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • PSC RADIATE
    Type code 3 recorded 2013-04-02

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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