P Praxis·MD
● Active Type 1 · Individual

Michael Ray Haskell, PA-C

Physician Assistant·Driggs, ID· NPI 1457794083 · Enumerated 2013 · 13 years on NPI
Haskell is 1 of 4 physician assistant providers in Driggs and 1 of 387 in Idaho.
NPI age
13 years
Enumerated 2013-04-13
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
WY
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-12-14
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
13 years
↓ 2 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
120 East Howard Avenue, Teton Valley Health Care
Driggs, ID 834225112
📞 2083546302fax 2083543158
Mailing address
120 East Howard Avenue, Teton Valley Health Care
Driggs, ID 834225112
📞 2083546352fax 2083543158

Specialties

  • Physician Assistant Primary
    Definition to come...
    WY license #576 taxonomy 363AM0700X
  • Physician Assistant
    Definition to come...
    WY license #576 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 5 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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