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

Taylor Davidson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508502006

Taylor Davidson, DO is an Emergency Medicine in Boise, Idaho. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2022, 4 years ago. Works from 2 locations. Licensed in Idaho.

Years since qualifying
4
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
ID
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2235
Fax: (208) 381-4556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11234 Anderson St, Loma Linda, CA 92354-2804 — (909) 558-4085

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5271564 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508502006
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 8, 2022
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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