OrganizationActive
Eagle Pediatrics,p.a.
NPI 1447475918 · Primary Care Clinic/Center · Eagle, ID
Provider details
- NPI number
- 1447475918
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alan Miller, Owner(208) 939-4880
- License
- M6036 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
125 N. Stierman
Suite a
Eagle, ID 83616-5136
Phone: (208) 939-4880
Fax: (208) 939-5003
Street-level locationGet directions
Mailing address
125 N. Stierman Way
Eagle, ID 83616-0000
Other names (DBA / former)
- Doing business as
- Eagle Pediatrics
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.