MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
NPI 1043400484
Physician Assistant in Pocatello, ID

Active since August 01, 2007
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 227-2600 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Mar 20, 2026, Jul 12, 2024 and 1 more (4 updates tracked since 2023).

About Medical Imaging Assoc Of Idaho Falls, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA (NPI 1043400484) is a healthcare organization registered as a physician assistant in Pocatello, Idaho and active in the NPI registry since August 2007. The organization lists Karen Marie Vaughn, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043400484
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing AddressPo Box 85495Chicago, IL 60689-5495 · (208) 715-5220
Organization SubpartYesParent: Medical Imaging Associates Of Idaho Falls
Authorized OfficialKaren Marie VaughnAuthorized Official · (330) 309-6984
Enumeration DateAugust 1, 2007
Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1043400484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
777 HOSPITAL WAY, Pocatello, ID 83201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Specialist/Technologist (Athletic Trainer)
777 HOSPITAL WAY
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Imaging Assoc Of Idaho Falls, PA's NPI number?

The NPI number for Medical Imaging Assoc Of Idaho Falls, PA is 1043400484. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Medical Imaging Assoc Of Idaho Falls, PA located?

Medical Imaging Assoc Of Idaho Falls, PA is located at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 227-2600.

What is Medical Imaging Assoc Of Idaho Falls, PA's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Medical Imaging Assoc Of Idaho Falls, PA was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.