Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oasis Pediatrics

Organization Pediatrics Physician · NPI 1558641274

Oasis Pediatrics is a Pediatrics Physician in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011

Practice location Address checks out

3217 W Bavaria St
Eagle, ID 83616-5171
Phone: (208) 602-2863
Fax: (208) 947-3419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M9582 (ID)

Record details

NPI number1558641274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Humphrey — Principal Officer · (208) 602-2863
NPI enumeratedAugust 25, 2011
Last updated in NPPESAugust 25, 2011
Mailing address3217 W Bavaria St, Eagle, ID 83616-5171

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