MR. TYSON THORPE


Address: 925 E Polston Ave, Post Falls, ID 83854
Phone: 2086205210

MR. TYSON THORPE (NPI# 1699170688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699170688
Entity Type Individual
Full Name MR. TYSON THORPE
Credential PA-C
Practice Address 925 E Polston Ave
Post Falls
ID 83854
Mailing Address Po Box 3648
Coeur D Alene
ID 83816-2522
Practice Telephone 2086205210
Mailing Telephone 2086205210
Enumeration Date 2014-11-03
Last Update Date 2018-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA-1423 ID Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
0004137 CO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
11154 Huron St Ste 212, Northglenn, CO 802342329 3039205161 3034524625

Office Location

Street Address 925 E POLSTON AVE
City POST FALLS
State ID
Zip Code 83854

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093768707 Leanne M Rousseau Family Medicine 925 E Polston Ave, Post Falls, ID 83854-9049 2006-05-17
1053878454 Laboratory Corporation of America Clinical Medical Laboratory 925 E Polston Ave, Post Falls, ID 83854-9049 2019-02-22
1659842797 Lindsey Nicole Page Nurse Practitioner 925 E Polston Ave, Post Falls, ID 83854-9049 2018-12-16
1982153235 Calli Ford Social Worker 925 E Polston Ave, Post Falls, ID 83854-9049 2016-09-28
1841696952 Dirne Health Centers, Inc. Physician Assistant 925 E Polston Ave, Post Falls, ID 83854-9049 2014-11-17
1952721011 Vanessa Susan Wright Family Medicine 925 E Polston Ave, Post Falls, ID 83854-9049 2014-04-16
1003245044 Michael Eugene Wigle Nurse Practitioner 925 E Polston Ave, Post Falls, ID 83854-9049 2013-11-08
1093960486 Therapeutic Associates, Inc. Clinic/Center 925 E Polston Ave, Suite B, Post Falls, ID 83854-9049 2008-11-26
1477689198 North Idaho Family Care Family Medicine 925 E Polston Ave, Post Falls, ID 83854-9049 2007-02-26
1023182920 Sports Medicine Services Inc Physical Therapist 925 E Polston Ave, Post Falls, ID 83854-9049 2006-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487264032 Esteem Counseling, LLC Counselor 1404 North Marcasite Court, Post Falls, ID 83854 2020-08-07
1497376685 Teresa Marie Ragan Registered Nurse 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 2020-04-29
1245792910 Samantha Patricia Bourassa Specialist/Technologist 2832 E Poleline Ave, Post Falls, ID 83854 2019-04-02
1003392598 Joshua Welz Psychologist 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 2018-07-17
1639608094 Anthony Leodis Walls Jr. Specialist/Technologist 8732 N Meyer Rd, Post Falls, ID 83854 2017-06-08
1831635911 Glenda Felts Social Worker 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 2017-01-12
1144763467 Rachel M. Pope Behavioral Analyst 204 E 1st Ave Apt 4, Post Falls, ID 83854 2016-11-18
1871960393 Randy Robinson Massage Therapist 2525 E Seltice Way Ste C, Post Falls, ID 83854 2015-09-01
1194112375 James Bailey Family Medicine 185 W 4th Ave Ste B, Post Falls, ID 83854 2015-04-24
1033534953 Lauren Tandy Speech-Language Pathologist 398 S. Corbin Rd., Post Falls, ID 83854 2014-02-28
Find all providers in zip 83854

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427539493 Rskpa, Pllc Physician Assistant 1869 E Seltice Way # 385, Post Falls, ID 83854-7019 2018-08-27
1366497547 Katherine Brooke Hall Physician Assistant 1125 E Polston Ave Ste B, Post Falls, ID 83854-6045 2006-05-24
1528684990 Annalise Goyette Physician Assistant 1220 E Polston Ave, Post Falls, ID 83854-6056 2020-06-22
1558868067 Tara Ashley Dorosh Physician Assistant 750 N Syringa St Ste 205, Post Falls, ID 83854 2018-04-11
1841696952 Dirne Health Centers, Inc. Physician Assistant 925 E Polston Ave, Post Falls, ID 83854-9049 2014-11-17
1457781874 Seth Rosenthal Physician Assistant 1296 E Polston Ave, Suite B, Post Falls, ID 83854-5217 2013-11-21
1013257468 Patrick Ryan Reed Physician Assistant 1125 E Polston Ave, Post Falls, ID 83854-6045 2013-02-21
1629392154 Kootenai Urgent Care LLC Physician Assistant 1300 E Mullan Ave, Suite 600, Post Falls, ID 83854-6052 2010-03-26
1407049356 Sarah O Hartzell Physician Assistant 1220 E Polston Ave, Post Falls, ID 83854 2007-08-23
1144309683 Megan Nichole Whitmore Physician Assistant 1440 E Mullan Ave, Post Falls, ID 83854-9064 2006-11-03
Find all providers in POST FALLS

Competitor

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City POST FALLS
Zip Code 83854

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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