Evan Melville, DO

Individual Active
NPI 1942867148
Pediatric Sports Medicine Physician Boise, ID

Evan Melville, DO holds NPI 1942867148, with a primary taxonomy of pediatric sports medicine physician and a practice location in Boise, ID. The number was issued on May 22, 2019 and the NPPES record was last updated on December 5, 2025.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010X O-1882 (ID)

Practice location

2619 W Fairview Ave
Boise, ID 83702-6722
Phone: (208) 706-9311

Local context

Active NPPES records list 1 provider with pediatric sports medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 1 in Idaho and 288 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Evan Melville
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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