NPIMap

Individual provider Active NPI

Ashley A Davis, MD

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1437180841
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8134 Issued in ID
Practice address
222 N 2ND St Ste 204
Boise, ID 83702-6130
Phone
(208) 429-9100
NPI assigned
Jul 5, 2006
Last updated
Nov 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8134 ID Primary

Addresses

Primary practice location

222 N 2ND St Ste 204
Boise, ID 83702-6130

Mailing address

222 N 2ND St Ste 204
Boise, ID 83702-6130
Phone (208) 429-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000842 ID Practitioner - Family Practice 7618911769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashley a Davis M.D.P.C.Group PAC ID 0547204695, 4 clinicians

Practice addresses (Care Compare)

222 N 2ND St
Suite 204
Boise, ID 83702-6130
Phone (208) 429-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M8134IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley a Davis M.D.P.C. Family Medicine CurrentSince Feb 1, 2005 Accepting new patients
Boise Family Medicine, LLC Family Medicine PastSince Jan 3, 2017 Accepting new patients
Boise Family Medicine Center Family Medicine PastSince Apr 1, 2013 Accepting new patients

Locations

222 N 2nd St
Ste 204
Boise, ID 83702
Phone (208) 429-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17614/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1437180841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST STE 204",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026130",
            "telephone_number": "208-429-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST STE 204",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026130",
            "telephone_number": "208-429-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.