Organization Active NPI

Edward D Davila, MD PLLC

Doing business as Burien Medical Care

  • Internal Medicine Physician
  • Burien, WA
National Provider Identifier
1598783201
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00028087 Issued in WA
Legal business name
EDWARD D DAVILA, MD PLLC
Doing business as
Burien Medical Care
Practice address
629 SW 153Rd St
Burien, WA 98166-2216
Phone
(206) 242-5400
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Edward D Davila, MD
Title
Single Member
Phone
(206) 242-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD00028087 WA Primary

Addresses

Primary practice location

629 SW 153Rd St
Burien, WA 98166-2216

Mailing address

629 SW 153Rd St
Burien, WA 98166-2216
Phone (206) 242-5400

Other names 1

  • Burien Medical Care Doing business as

National Provider Directory

National Provider Directory

Locations

629 SW 153rd St
Burien, WA 98166
Phone (206) 242-5400

15211 8th Ave S
Burien, WA 98148
Phone (206) 242-5400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1598783201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 SW 153RD ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662216",
            "telephone_number": "206-242-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 SW 153RD ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662216",
            "telephone_number": "206-242-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD D DAVILA, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "206-242-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00028087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burien Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.