NPI age
14 years
Enumerated 2011-08-25
● Active Type 2 · Organization
Oasis Pediatrics
Oasis Pediatrics is 1 of 252 pediatrics organizations in Idaho.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Humphrey
Principal Officer
Last NPPES update
2011-08-25
Source: monthly bulk 2026-05
How this organization compares
Across 252 active pediatrics providers in Idaho.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
3217 W Bavaria St
Eagle, ID 836165171
Mailing address
3217 W Bavaria St
Eagle, ID 836165171
Authorized official
Carrie Humphrey, MD
Principal Officer
📞 2086022863
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Vanessa Bizimana, NP Nurse Practitioner NPI 1801008305
- Andrew Crawford, PA-C Physician Assistant NPI 1588987309
- David Kelly, MD Family Medicine NPI 1194862417
- Bradley Morris, PA Physician Assistant NPI 1346647526
- Eric Overton Family Medicine NPI 1225448327
- Brian Wong Pediatrics NPI 1124474960
- Angella Zieba, MD Pediatrics NPI 1730131905
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 80673100 |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.