P Praxis·MD
● Active Type 1 · Individual

Edward D Davila, MD

Internal Medicine·Eagle, ID· NPI 1972545143 · Enumerated 2006 · 19 years on NPI
Davila is 1 of 16 internal medicine providers in Eagle and 1 of 504 in Idaho.
NPI age
19 years
Enumerated 2006-06-12
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 504 active internal medicine providers in Idaho.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
44% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
323 E Riverside Dr Ste 224
Eagle, ID 836166865
📞 2083026000fax 2083026055
Mailing address
323 E Riverside Dr Ste 224
Eagle, ID 836166865
📞 2083026000fax 2083026055

Additional practice locations

1 secondary location on file with NPPES.

Location 2
22000 Marine View Dr S Ste 100
Des Moines, WA 981986233
📞 2068704460

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    ID license #MC-1136WA license #MD00028087 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (WA) 2110721
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 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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