P Praxis·MD
● Active Type 2 · Organization

Family Medicine & Medicine

Physician Assistant·Ketchum, ID· NPI 1194136515 · Enumerated 2014 · 12 years on NPI
Family Medicine & Medicine is 1 of 1263 physician assistant organizations in Idaho.
NPI age
12 years
Enumerated 2014-05-20
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ford
President
Last NPPES update
2014-05-20
Source: monthly bulk 2026-05

How this organization compares

Across 1263 active physician assistant providers in Idaho.

NPI age
12 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
380 Washington Ave, Suite 204
Ketchum, ID 833401575
📞 2087250900fax 2087250901
Mailing address
Po Box 1575
Ketchum, ID 833401575
📞 2087250900fax 2087250901

Authorized official

Nanette Ford, P.A.-C
President
📞 2087250900

Individual providers at this organization

3 individual providers on file at this primary practice address.

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 #PA-126 taxonomy 363A00000X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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