NPI age
19 years
Enumerated 2006-11-08
● Active Type 2 · Organization
Keith E Davis
Keith E Davis is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
Owner
Last NPPES update
2012-03-08
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
113 S Apple St
Shoshone, ID 833525287
Mailing address
Po Box 609
Shoshone, ID 833520609
Authorized official
Keith E Davis, MD
Owner
📞 2088862224
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Keith Davis, M.D. Family Medicine NPI 1043277635
- Barbara Hapayan, NP Nurse Practitioner NPI 1619494614
- Andrea Madson, LMSW Social Worker NPI 1982055166
- Stephanie Roberts, PA Physician Assistant NPI 1144393257
- Janet Sandy Nurse Practitioner NPI 1770653990
- Megan Williams, RD, LD Dietitian, Registered NPI 1164671699
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806290300 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Shoshone Family Medical Center
Practice context
Multi-provider organization. 6 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.