Active NPI
Edward D Davila, MD PLLC
Doing business as Burien Medical Care
- Internal Medicine Physician
- Burien, WA
National Provider Identifier
1598783201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00028087
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Burien, WA
- NPI 1750318473
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.