NPI age
20 years
Enumerated 2005-09-15
● Active
Type 1 · Individual
Leslie Jean McGovern, PA-C, MHE, ATC, LAT
McGovern is 1 of 33 physician assistant providers in Pocatello and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-07-19
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
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
2
In the 30% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
777 Hospital Way
Pocatello, ID 832015175
Mailing address
Po Box 15070
Scottsdale, AZ 852675070
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantDefinition to come...
-
Specialist/TechnologistAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1831184712 | |
| 01 | P00902985 | RAILROAD MEDICARE |
Practice context
Part of a multi-provider practice. 144 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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