P Praxis·MD
● Active Type 1 · Individual

Raul Campos III

Physician Assistant·Caldwell, ID· NPI 1295434355 · Enumerated 2023 · 3 years on NPI
Campos is 1 of 26 physician assistant providers in Caldwell and 1 of 1263 in Idaho.
NPI age
3 years
Enumerated 2023-02-27
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-17
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
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Practice location
712 Aviation Way
Caldwell, ID 836051154
📞 2083027500fax 2083027555
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170fax 2083675180

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1315 E Crandall Ave Unit 406
Salt Lake City, UT 841064474
📞 7086461962

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 #3071780 taxonomy 363A00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 17 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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