CARL RYAN ANDRUS P.A.
NPI 1215949532
Physician Assistant in Boise, ID

Active since August 13, 2006
4902 W STATE ST, BOISE, ID 83703(208) 853-3100(208) 853-3120 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carl Ryan Andrus P.a. NPPES

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

CARL RYAN ANDRUS P.A. (NPI 1215949532) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-508) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215949532
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCARL RYAN ANDRUSCredential: P.A.
Location Address4902 W STATE STBoise, ID 83703-3326
Mailing Address4902 W State StBoise, ID 83703-3326 · (208) 853-3100 · Fax (208) 853-3120
Fax(208) 853-3120
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1215949532 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-508
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.

4902 W STATE ST, Boise, ID 83703

Other Identifiers 5

Other000010157032ID · Blue Cross
OtherPAD26ID · Blue Cross
Medicaid807520000ID
Other000010157033ID · Blue Shield
OtherPAD25ID · Blue Cross

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.

Physician Assistant
4902 W STATE ST
BOISE, ID 83703
Orthopaedic Surgery
4902 W STATE ST
BOISE, ID 83703
Physician Assistant
4902 W STATE ST
BOISE, ID 83703
Family Medicine
4902 W STATE ST
BOISE, ID 83703

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 Carl Andrus's NPI number?

The NPI number for Carl Andrus is 1215949532. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Carl Andrus located?

Carl Andrus practices at 4902 W State St, Boise, ID 83703. The listed phone number is (208) 853-3100.

What is Carl Andrus'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 Carl Andrus was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.