P Praxis·MD
● Active Type 2 · Organization

Tamarack Eagle Medical

General Practice·Tamarack, ID· NPI 1255621835 · Enumerated 2011 · 15 years on NPI
Tamarack Eagle Medical is 1 of 75 general practice organizations in Idaho.
NPI age
15 years
Enumerated 2011-04-15
Primary specialty
General Practice
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Yeakley
Sole Member
Last NPPES update
2011-04-15
Source: monthly bulk 2026-05

How this organization compares

Across 75 active general practice providers in Idaho.

NPI age
15 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 22% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-04Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
311 Village Dr
Tamarack, ID 836155014
📞 2087247420
Mailing address
5701 Willow Creek Rd
Eagle, ID 836162025
📞 2087247420

Authorized official

Rourke Yeakley, M.D.
Sole Member
📞 2087247420

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    ID license #M8190 taxonomy 208D00000X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    taxonomy 122300000X

Other names on file (1)

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

  • Tamarack Medical & Dental Clinic
    Type code 3 recorded 2011-04-15

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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