NPI age
18 years
Enumerated 2007-10-25
● Active
Type 1 · Individual
Roger David Cushman, P.A.
Cushman is 1 of 33 physician assistant providers in Pocatello and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-10-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
18 years
↑ 3 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Practice location
2302 E. Terry Street
Pocatello, ID 83201
Mailing address
Po Box 335
Pocatello, ID 832040335
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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