P Praxis·MD
● Active Type 1 · Individual

Thad W Wilkey, PA

Physician Assistant·Fruitland, ID· NPI 1174513188 · Enumerated 2005 · 20 years on NPI
Wilkey is 1 of 22 physician assistant providers in Fruitland and 1 of 1263 in Idaho.
NPI age
20 years
Enumerated 2005-10-21
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-01-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
2101 N Whitley Dr
Fruitland, ID 836192132
📞 2084525999fax 2084524499
Mailing address
2101 N Whitley Dr
Fruitland, ID 836192132
📞 2084525999fax 2084524499

Specialties

  • Physician Assistant Primary
    A 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...
    ID license #PA280 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (ID) 000010147742 BLUE SHIELD
01 (ID) PACC2 BLUE CROSS
05 (ID) 806348800
01 (ID) 000010139188 BLUE SHIELD
01 (ID) PACB4 BLUE CROSS
01 (ID) PANX1 BLUE CROSS
01 (ID) 000010138646 BLUE SHIELD
01 (ID) 970026445 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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