NPI age
20 years
Enumerated 2005-10-21
● Active
Type 1 · Individual
Todd M Otstot, PA-C
Otstot is 1 of 8 physician assistant providers in Caldwell and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
206 E Elm St
Caldwell, ID 836054815
Mailing address
206 E Elm St
Caldwell, ID 836054815
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4424 E Flamingo Ave, Suite 110
Nampa, ID 83687
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010035293 | BLUE SHIELD |
| 01 (ID) | 970022197 | RAILROAD MEDICARE |
| 05 (ID) | 806153700 | |
| 01 (ID) | 000010035292 | BLUE SHIELD |
| 01 (ID) | PAA02 | BLUE CROSS |
| 01 (ID) | PAAE9 | BLUE CROSS |
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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