P Praxis·MD
● Active Type 1 · Individual

Joseph E Molloy

Physician Assistant·Fruitland, ID· NPI 1194249110 · Enumerated 2017 · 8 years on NPI
Molloy is 1 of 22 physician assistant providers in Fruitland and 1 of 1263 in Idaho.
NPI age
8 years
Enumerated 2017-08-01
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
8 years
≈ at median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-08Enumerated in NPPES
2017 2026

Where they practice

Practice location
1210 Nw 16th St
Fruitland, ID 836192202
📞 2084528700fax 2084528701
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
8700 Beverly Blvd
West Hollywood, CA 900481804
📞 3104235000

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 #1671360CA license #PA57157 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1263 Physician Assistant providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related