MR. RONNIE BRYON ISAACSON PHYSICIAN ASSISTANT NPI 1275007965

NPI Information

NPI: 1275007965
Provider Name: MR. RONNIE BRYON ISAACSON, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: AMBITIONS OF IDAHO INC

PECOS Registration: Yes

Address:
2609 S 10TH AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 841-3020
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MR. Ronnie Bryon Isaacson, PHYSICIAN ASSISTANT is a medical physician assistant in Caldwell, ID with 7 years of experience. MR. Ronnie Bryon Isaacson, PHYSICIAN ASSISTANT NPI is 1275007965. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2609 S 10TH AVE
CALDWELL, ID
ZIP 83605-816
Phone: (208) 841-3020
Fax: (208) 549-7017

The NPI 1275007965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/15/2019 and was last updated on 2/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA191453	OREGON	No
2	363AM0700X	Physician Assistant	Medical	PA-1707	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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