PSC RADIATE
NPI 1235472895
Family Medicine in Ammon, ID

Q: What is William Eder MD's NPI number?

The NPI number for William Eder MD is 1235472895. It was assigned to this organization in the NPPES registry on April 2, 2013. The provider is doing business as Psc Radiate.

Q: What is William Eder MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for William Eder MD was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2013

3040 E 17TH ST STE A, AMMON, ID 83406(208) 557-0998 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Psc Radiate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PSC RADIATE (NPI 1235472895) is a healthcare organization registered as a family medicine in Ammon, Idaho and active in the NPI registry since April 2013. The organization lists Katie Davenport, Billing, as its authorized official.

NPPES Registry Identity

NPI1235472895

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWILLIAM EDER MD

Location Address3040 E 17TH ST STE AAmmon, ID 83406-6760

Mailing Address3040 E 17th St Ste AAmmon, ID 83406-6760 · (208) 557-0998

Phone(208) 557-0998

Organization SubpartNo

Authorized OfficialKatie DavenportBilling · (208) 520-2636

Enumeration DateApril 2, 2013

✔ NPI 1235472895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M3801

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3040 E 17TH ST STE A, Ammon, ID 83406

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Other Names 1

Doing Business AsPsc Radiate

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Eder MD's NPI number?

The NPI number for William Eder MD is 1235472895. It was assigned to this organization in the NPPES registry on April 2, 2013. The provider is doing business as Psc Radiate.

Where is William Eder MD located?

William Eder MD is located at 3040 E 17th St Ste A, Ammon, ID 83406. The listed phone number is (208) 557-0998.

What is William Eder MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for William Eder MD was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.