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-1998OR license #PA2307430taxonomy 363A00000X
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-08-21. They apply only to this clinician's public Medicare listing.
Medicare specialties
Physician Assistant
Medical school
University Of Washington School Of Medicine
Graduation year 2020
Largest Medicare group
673 members
Largest listed enrollment group
Facility affiliations reported by CMS
Gem State Radiology Llp
Saint Alphonsus Regional Medical Center Inc
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 386 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new physician assistant providers have been added in Boise in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 1277 Physician Assistant providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.