SKYLER S WORTHINGTON (NPI# 1992091722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992091722 |
| Entity Type | Individual |
| Full Name | SKYLER S WORTHINGTON |
| Credential | PA-C |
| Practice Address |
156 6th St Potlatch ID 83855 |
| Mailing Address |
Po Box 8007 Moscow ID 83843-0507 |
| Practice Telephone | 2088752380 |
| Practice Fax Number | 2088752303 |
| Mailing Telephone | 2088824511 |
| Mailing Fax Number | 2088836580 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-1825 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
156 6TH ST |
| City | POTLATCH |
| State | ID |
| Zip Code | 83855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854508 | Allison Lea Zimms | Massage Therapist | 635 Larch Street, Potlatch, ID 83855 | 2019-10-28 |
| 1558817494 | Suzanne Paul | Family Medicine | 325 Larch Street, Potlatch, ID 83855 | 2016-08-31 |
| 1245515832 | Potlatch Family Dental, PC | Dentist | 225 6th Street, Potlatch, ID 83855 | 2011-10-15 |
| 1053504829 | Potlatch Rural Fire Dist | Ambulance | 512 Pine Street, Potlatch, ID 83855 | 2007-08-24 |
| 1285776112 | County of Latah 285 School District | Local Education Agency (LEA) | 136th Street, Potlatch, ID 83855 | 2007-02-14 |
| 1962573444 | Michael S. Hess | Pharmacist | 525 Pine St, Potlatch, ID 83855 | 2006-11-13 |
| 1689661050 | Charlotte S Ainge | Physician Assistant | 156 N. 6th St, Potlatch, ID 83855 | 2005-09-30 |
| 1669866612 | Dan Lawson Dds, PC | Dentist | 225 6th Street, Potlatch, ID 83855 | 2015-03-26 |
| 1982955779 | Jennifer L Davis | Physician Assistant | 225 6th St, Potlatch, ID 83855 | 2012-09-20 |
| 1407410517 | Nicholas John Browneller | Specialist | 610 Oak St, Potlatch, ID 83855-0359 | 2019-04-24 |
| Find all providers in zip 83855 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205901477 | Michael Clyde Graham | Physician Assistant | 225 6th St, Potlatch, ID 83855-5002 | 2006-11-22 |
| 1689661050 | Charlotte S Ainge | Physician Assistant | 156 N. 6th St, Potlatch, ID 83855 | 2005-09-30 |
| 1982955779 | Jennifer L Davis | Physician Assistant | 225 6th St, Potlatch, ID 83855 | 2012-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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| 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.