ST BENEDICTS FMC PHYSICIAN ASSISTANTS
NPI 1700053774
Physician Assistant in Jerome, ID

Q: What is St Benedicts FMC Physician Assistants's specialty?

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

Active since May 09, 2008

709 N LINCOLN AVE, JEROME, ID 83338(208) 324-4301(208) 324-9529 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About St Benedicts Fmc Physician Assistants NPPES

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

ST BENEDICTS FMC PHYSICIAN ASSISTANTS (NPI 1700053774) is a healthcare organization registered as a physician assistant in Jerome, Idaho and active in the NPI registry since May 2008. The organization lists Alan Stevenson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1700053774

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameST BENEDICTS FMC PHYSICIAN ASSISTANTS

Location Address709 N LINCOLN AVEJerome, ID 83338-1851

Mailing Address709 N Lincoln AveJerome, ID 83338-1851 · (208) 324-4301 · Fax (208) 324-9529

Phone(208) 324-4301

Fax(208) 324-9529

Organization SubpartYesParent: St Benedicts Family Medical Center

Authorized OfficialAlan StevensonAdministrator · (208) 324-1122

Enumeration DateMay 9, 2008

✔ NPI 1700053774 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 · 08

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.

709 N LINCOLN AVE, Jerome, ID 83338

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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 11

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

THOMAS HENRY ZEPEDA MD

Personal Emergency Response Attendant