P Praxis·MD
● Active Type 1 · Individual

William Joseph Short, PAC

Physician Assistant·Nampa, ID· NPI 1780928580 · Enumerated 2012 · 13 years on NPI
Short is 1 of 96 physician assistant providers in Nampa and 1 of 1263 in Idaho.
NPI age
13 years
Enumerated 2012-11-16
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-09-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
13 years
↑ 4 yr above median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-11Enumerated in NPPES
2012 2026

Where they practice

Practice location
1019 W Sanetta St
Nampa, ID 836515047
📞 2089171842fax 2085497017
Mailing address
1775 W State St # 383
Boise, ID 837023924
📞 2089124416fax 2085495832

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
4615 W Emerald St
Boise, ID 837062002
📞 2089171842fax 2085497017
Location 3
1044 Northwest Blvd
Coeur D Alene, ID 838142114
📞 2089171842fax 2085497017

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 #PA1027OR license #PA160595 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Nampa 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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