William Eder MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M3801 Issued in ID

Legal business name

WILLIAM EDER MD

Doing business as

PSC Radiate

Practice address

3040 E 17TH St Ste a
Ammon, ID 83406-6760

Phone

(208) 557-0998

NPI assigned

Apr 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Katie Davenport

Title

Billing

Phone

(208) 520-2636

Specialties & licenses 1

Addresses

Other names 1

• PSC RADIATE Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William R Eder, M.D.

  • General Practice Physician
  • Idaho Falls, ID
  • NPI 1275696734
  NPD (past)
• Jeffrey C Haskell X, MD

  • Family Medicine Physician
  • Arco, ID
  • NPI 1073535506
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1235472895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E 17TH ST STE A",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066760",
            "telephone_number": "208-557-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E 17TH ST STE A",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066760",
            "telephone_number": "208-557-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM EDER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "208-520-2636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M3801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSC RADIATE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Kay Whitmill, PHARM.D.
• Richard Franklin Whittaker I
• Wholesome Health
• Megann Wilkerson, LCSW
• Kylee Rae Wilkie
• Levi Peterson Williams, DPT, PT
• Mariah Williams
• Phillip Everett Willis
• Lisa Wilmore
• Wolf Pack LLC (Ahhhsome Relaxation)

• Family Medicine Physician in Ammon, ID
• Providers in Ammon, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.