P Praxis·MD
● Active Type 1 · Individual

DR. Ryan Daniel Heyborne, MD

Emergency Medicine·Meridian, ID· NPI 1659573889 · Enumerated 2007 · 18 years on NPI
Heyborne is 1 of 26 emergency medicine providers in Meridian and 1 of 336 in Idaho.
NPI age
18 years
Enumerated 2007-06-01
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
ID, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 336 active emergency medicine providers in Idaho.

NPI age
18 years
≈ at median (18 yr)
State licenses
2 states
Top 59% — 40% of peers are multi-state
Subspecialties
0
51% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
3025 W Cherry Lane
Meridian, ID 83642
📞 2083026400fax 2083026455
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
📞 2083026400fax 2083026455

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    ID license #M10210IN license #01062424A taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (ID) 808011700
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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