P Praxis·MD
● Active Type 1 · Individual

Daniel T Whitted, PA-C

Physician Assistant·Boise, ID· NPI 1942590914 · Enumerated 2011 · 15 years on NPI
Whitted is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
NPI age
15 years
Enumerated 2011-04-12
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-04-12
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
15 years
≈ at median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-04Enumerated in NPPES
2011 2026

Where they practice

Practice location
6590 W Norwood Dr
Boise, ID 837048765
📞 2088552410fax 2088550157
Mailing address
6590 W Norwood Dr
Boise, ID 837048765
📞 2088552410fax 2088550157

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-884 taxonomy 363AM0700X
  • Physician Assistant
    Definition to come...
    ID license #PA-884 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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