NPI age
9 years
Enumerated 2017-03-21
● Active
Type 1 · Individual
Jonathan Subaitani, PA-C
Subaitani is 1 of 23 physician assistant providers in Eagle and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-05-07
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
9 years
≈ at median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Practice location
219 S Wooddale Ave
Eagle, ID 836167714
Mailing address
219 S Wooddale Ave
Eagle, ID 836167714
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
6051 W Emerald St
Boise, ID 837048969
Location 3
512 E Elm St
Caldwell, ID 836054871
Location 4
11197 W Fairview Ave
Boise, ID 83713
Specialties
-
Physician Assistant PrimaryA 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...
-
Emergency MedicineAn emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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