NPI age
7 years
Enumerated 2019-03-21
● Active
Type 1 · Individual
Mr. Kodie Thomas
Thomas is 1 of 7 physician assistant providers in Emmett and 1 of 1,299 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
AZ, NU
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-12-02
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1299 active physician assistant providers in Idaho.
NPI age
7 years
↓ 3 yr below median (10 yr)
State licenses
2 states
Top 72% — 27% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2019 → 2022
2019-03Enumerated in NPPES
2019
2022
Where they practice
Practice location
2086 Picket Ln
Emmett, ID 836179104
Mailing address
2086 Picket Ln
Emmett, ID 836179104
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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