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: July 19, 2026.

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

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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 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.Information from the official NPPES registry record, last updated March 23, 2026.

NPPES Registry Identity

NPI1043400484
Entity TypeOrganization
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, 2026
NPPES CertifiedMarch 23, 2026
NPI 1043400484 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physician Assistant

Taxonomy 363A00000X · Physician Assistants & Advanced Practice Nursing Providers

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… Show more

Also Listed

Physician Assistant · Medical

Taxonomy 363AM0700X · Physician Assistants & Advanced Practice Nursing Providers

777 HOSPITAL WAY, Pocatello, ID 83201

Also on File with NPPES

Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)
Last updated in NPPES on March 23, 2026 · 4 updates tracked since enumeration.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
777 HOSPITAL WAY
POCATELLO, ID 83201
Obstetrics & Gynecology
777 HOSPITAL WAY, BLDG A, STE 300
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Obstetrics & Gynecology
777 HOSPITAL WAY, BLDG A SUITE 300
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Emergency Medicine (Emergency Medical Services)
777 HOSPITAL WAY
POCATELLO, ID 83201
Clinic/Center (Multi-Specialty)
777 HOSPITAL WAY
POCATELLO, ID 83201
General Acute Care Hospital
777 HOSPITAL WAY
POCATELLO, ID 83201
Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Clinical Nurse Specialist (Adult Health)
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant (Medical)
777 HOSPITAL WAY
POCATELLO, ID 83201
Dietitian, Registered
777 HOSPITAL WAY, BUILDING A, SUITE 201
POCATELLO, ID 83201
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
General Acute Care Hospital (Critical Access)
777 HOSPITAL WAY
POCATELLO, ID 83201
Obstetrics & Gynecology
777 HOSPITAL WAY, SUITE 300
POCATELLO, ID 83201
Obstetrics & Gynecology
777 HOSPITAL WAY, BLDG A SUITE 300
POCATELLO, ID 83201
Obstetrics & Gynecology
777 HOSPITAL WAY, BLDG A SUITE 300
POCATELLO, ID 83201
Urology
777 HOSPITAL WAY
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043400484, enumerated as an "organization" on August 01, 2007.

The provider is located at 777 HOSPITAL WAY POCATELLO, ID 83201 and the phone number is (208) 227-2600.

Physician Assistant with taxonomy code 363A00000X.