P Praxis·MD
● Active Type 1 · Individual

Gayle Jean Detweiler, P.A.

Physician Assistant·Meridian, ID· NPI 1548339211 · Enumerated 2006 · 19 years on NPI
Detweiler is 1 of 132 physician assistant providers in Meridian and 1 of 1263 in Idaho.
NPI age
19 years
Enumerated 2006-11-07
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
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
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
366 Sw 5th Ave, Suite 100
Meridian, ID 836428600
📞 2088989755fax 2088982544
Mailing address
366 Sw 5th Ave, Suite 100
Meridian, ID 836428600
📞 2088989755fax 2088982544

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 #PA263 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (ID) PAC53 BLUE CROSS OF IDAHO

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Meridian in the last 180 days. See all →
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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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