DR. EDUARDO AVILA (NPI# 1760430367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760430367 |
| Entity Type | Individual |
| Full Name | DR. EDUARDO AVILA |
| Credential | MD |
| Practice Address |
98 Poplar St Blackfoot ID 83221-1758 |
| Practice Telephone | 2087823993 |
| Practice Fax Number | 2087823994 |
| Mailing Telephone | 2087823993 |
| Mailing Fax Number | 2087823994 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | M-9388 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OLD | 75390 | 01 |
| ID | ALTIUS OLD | 243412 | 01 |
| ID | REGENCE BLUE SHEILD | 000010151099 | 01 |
| ID | ALTIUS | 313067 | 01 |
| ID | BLUE CROSS | HB400 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134032 | Eduardo A Avila | Dentist | 11400 Rockville Pike Ste 805, Rockville, MD 20852-3054 | 2005-06-17 |
| 1376639625 | Eduardo E Avila | Pathology | 1425 Portland Ave, Rochester General Hospital, Rochester, NY 14621-3001 | 2006-10-05 |
| Street Address |
98 POPLAR ST |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871474 | Wade H Flowers Jr. | Pharmacist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2005-06-16 |
| 1629685177 | Lucus Craig Webb Christoffersen | Registered Nurse | 98 Poplar St, Blackfoot, ID 83221-1799 | 2020-09-29 |
| 1770111924 | Kywnynn Madsen | Dietitian, Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2020-03-31 |
| 1235795915 | Megan Lewis | Advanced Practice Midwife | 98 Poplar St, Blackfoot, ID 83221-1758 | 2019-05-17 |
| 1083177935 | Jason Lee Harmon | Student in an Organized Health Care Education/Training Program | 98 Poplar St, Blackfoot, ID 83221-1758 | 2019-04-08 |
| 1851870091 | Jennifer L Wistisen | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1799 | 2018-08-08 |
| 1114405396 | Ryan Blair Killpack | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-07-31 |
| 1023504651 | Amanda Wray | Pharmacist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-07-06 |
| 1699268276 | Zachary D Morrow | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-06-08 |
| 1184115107 | Megan Nicole Broyles | Pharmacist | 98 Poplar St, Blackfoot, ID 83221 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649699174 | Mvh Bmc LLC | Surgery | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2014-04-14 |
| 1740580794 | Blackfoot Medical Clinic Surgeons | Surgery | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2010-10-25 |
| 1831144757 | Christopher S Riley | Surgery | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790340834 | Idaho Surgical, LLC | Surgery | 6195 E Hunt Ave, Nampa, ID 83687-8317 | 2019-05-03 |
| 1982178596 | Huntington Laparoscopy, PC | Surgery | 222 N 2nd St Ste 107, Boise, ID 83702-6129 | 2019-01-16 |
| 1508350331 | Matthew Jacobsson | Surgery | 2920 N High Desert Way, Meridian, ID 83646-9066 | 2018-06-15 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| 1326385410 | Robert Henry Morrell | Surgery | 2061 S Springbrook Ln, Boise, ID 83706 | 2013-01-09 |
| 1992040356 | Sandpoint Surgical Associates | Surgery | 502 N Second Ave, Suite 3, Sandpoint, ID 83864-1558 | 2012-12-11 |
| 1063774727 | Ciara Rosemary Huntington | Surgery | 222 North 2nd Street, Suite 107, Boise, ID 83702 | 2012-06-08 |
| 1093086589 | Robert Sumner West | Surgery | 3621 W Fairway Dr, Coeur D Alene, ID 83815-9049 | 2012-01-16 |
| 1790012383 | Brian E O'byrne, M.d. P.a. | Surgery | 2860 Channing Way Ste 117, Idaho Falls, ID 83404-7532 | 2009-11-03 |
| 1679716591 | Daniel Paul Gay | Surgery | 404 Elm Street, Caldwell, ID 83605 | 2009-04-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.