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FAMILY MEDICINE & MEDICINE
NPI 1194136515
Physician Assistant in Ketchum, ID

Active since May 20, 2014
380 WASHINGTON AVE, SUITE 204, KETCHUM, ID 83340(208) 725-0900(208) 725-0901 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Medicine & Medicine NPPES

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

FAMILY MEDICINE & MEDICINE (NPI 1194136515) is a healthcare organization registered as a physician assistant in Ketchum, Idaho and active in the NPI registry since May 2014. The organization lists Nanette Ford, President, as its authorized official.

NPPES Registry Identity

NPI1194136515
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameFAMILY MEDICINE & MEDICINE
Location Address380 WASHINGTON AVE, SUITE 204Ketchum, ID 83340-1575
Mailing AddressPo Box 1575Ketchum, ID 83340-1575 · (208) 725-0900 · Fax (208) 725-0901
Phone(208) 725-0900
Fax(208) 725-0901
Organization SubpartNo
Authorized OfficialNanette FordPresident · (208) 725-0900
Enumeration DateMay 20, 2014
✔ NPI 1194136515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-126
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.
380 WASHINGTON AVE, Ketchum, ID 83340
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. KIMBERLY A VORSE MD
Internal Medicine (Sleep Medicine)
380 WASHINGTON AVE, SUITE 201
KETCHUM, ID 83340
Blaine County (208) 726-0000
DR. CATHRYN ERICKSON DO
Internal Medicine
380 WASHINGTON AVE, SUITE 204
KETCHUM, ID 83340
Blaine County (208) 291-1985
KARA MAXWELL L.AC
Acupuncturist
380 WASHINGTON AVE, SUITE 201
KETCHUM, ID 83340
Blaine County (208) 720-9991
KIMBERLY A. VORSE MD PC
Clinic/Center (Sleep Disorder Diagnostic)
380 WASHINGTON AVE, SUITE 201
KETCHUM, ID 83340
Blaine County (208) 342-7700

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 Family Medicine & Medicine's NPI number?

The NPI number for Family Medicine & Medicine is 1194136515. It was assigned to this organization in the NPPES registry on May 20, 2014.

Where is Family Medicine & Medicine located?

Family Medicine & Medicine is located at 380 Washington Ave Suite 204, Ketchum, ID 83340. The listed phone number is (208) 725-0900.

What is Family Medicine & Medicine'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 Family Medicine & Medicine was last updated on May 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.