NPI age
3 years
Enumerated 2023-01-30
● Active
Type 1 · Individual
MR. Joshua Phillip Black, PA-C
Black is 1 of 44 physician assistant providers in Idaho Falls and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-30
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
3 years
↓ 12 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-01Enumerated in NPPES
2023
2026
Where they practice
Practice location
740 S Woodruff Ave
Idaho Falls, ID 834015285
Mailing address
3784 E Terrace Hills Ln
Rigby, ID 834425328
Additional practice locations
1 secondary location on file with NPPES.
Location 2
7017 Daisy Ln
Idaho Falls, ID 834025753
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA 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...
Practice context
Part of a multi-provider practice. 18 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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