P Praxis·MD
● Active Type 2 · Organization

Eagle Family Medicine P A

Family Medicine·Eagle, ID· NPI 1417054693 · Enumerated 2006 · 19 years on NPI
Eagle Family Medicine P A is 1 of 1691 family medicine organizations in Idaho.
NPI age
19 years
Enumerated 2006-09-20
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nowierski
Owner
Last NPPES update
2015-01-05
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
100 Cottonwood Ct, Suite 100
Eagle, ID 836166576
📞 2089393197fax 2089393263
Mailing address
100 Cottonwood Ct, Suite 100
Eagle, ID 836166576
📞 2089393197fax 2089393263

Authorized official

Shawn Christian Nowierski, MD
Owner
📞 2089393197

Individual providers at this organization

2 individual providers on file at this primary practice address.

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 #M-7050 taxonomy 207Q00000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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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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