Active NPI
Elizabeth A Davis, MD
- Emergency Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M-13502
- Practice address
- 6051 W Emerald St
Boise, ID 83704-8969 - Phone
- (208) 302-5150
- Fax
- (208) 230-2051
- NPI assigned
- Feb 7, 2008
- Last updated
- May 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R1432 | KY | |
| Family Medicine Physician | 207Q00000X | M-13502 | ID | |
| Emergency Medicine Physician | 207P00000X | M-13502 | ID | Primary |
Addresses
Primary practice location
6051 W Emerald St
Boise, ID 83704-8969
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
215 E Hawaii Ave
Nampa, ID 83686-6011
Phone (208) 463-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10583 W Lake Hazel Rd
Boise, ID 83709-6326
Phone (208) 302-5900
10717 W State St
Star, ID 83669-6046
Phone (208) 302-6300
11035 Karcher Rd
Nampa, ID 83651-8200
Phone (208) 302-2100
1150 N Sister Catherine Way
Nampa, ID 83687-3133
Phone (208) 302-7000
3025 W Cherry LN
Meridian, ID 83642-8531
6022 W Emerald St
Boise, ID 83704-8855
Phone (208) 367-4603
6094 W Emerald St
Boise, ID 83704-8855
Phone (208) 302-1000
712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-1035
757 E Wythe Creek CT
Suite 100
Kuna, ID 83634-5006
Phone (208) 302-6500
867 S Vanguard Way
Meridian, ID 83642-7552
Phone (208) 302-7950
910 NW 16TH St
Fruitland, ID 83619-2265
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-13502 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Medical Center- Ontario Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current | Accepting new patients | |
| Southern Idaho Health Partners LLC | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Churchill Mangat Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
Locations
6051 W Emerald St
Boise, ID 83704
Phone (208) 302-5100
910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234
217 W Georgia Ave
Ste 115
Nampa, ID 83686
Phone (208) 463-3234
9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600
Interoperability endpoints
- edavis3358486@direct.trinity-health.org
Organizations & group practices 7
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Internal Medicine Physician
- Ontario, OR
- NPI 1093034159
ID
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
dba Saltzer Clinics
- General Practice Physician
- Meridian, ID
- NPI 1952701401
-
dba Saint Alphonsus Medical Center Ontario
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
-
- Emergency Medicine Physician
- Fallon, NV
- NPI 1881905149
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Alphonsus RMC TVL
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
dba St Alphonsus Rehabilitation Services
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1801074232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6051 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048969",
"telephone_number": "208-302-5150",
"fax_number": "208-230-2051"
}
],
"practiceLocations": [
{
"address_1": "215 E HAWAII AVE",
"address_purpose": "LOCATION",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866011",
"country_code": "US",
"telephone_number": "208-463-3000",
"fax_number": "208-463-3064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "R1432",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-13502",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-13502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.