LANCE W MCKAY P.A.-C NPI 1720379597

NPI Information

  • NPI: 1720379597
  • Provider Name: LANCE W MCKAY, P.A.-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1151 HOSPITAL WAY, BLD D
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 239-8010

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NPI Details

Lance W Mckay, P.A.-C is a surgical physician assistant in Pocatello, ID with 16 years of experience. Lance W Mckay, P.A.-C NPI is 1720379597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1151 HOSPITAL WAY, BLD D
POCATELLO, ID
ZIP 83201-091
Phone: (208) 239-8010
Fax: (208) 782-2974

The NPI 1720379597 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)

The enumeration date for this NPI number is 4/27/2011 and was last updated on 12/16/2013.

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
1363AM0700XPhysician AssistantMedicalPA-1071IDAHONo
2363AS0400XPhysician AssistantSurgicalPA-1071IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00937414MEDICARE PINARIZONA
2611187MEDICAIDARIZONA
33Z5047OTHERARIZONAHEALTHNET
4Z145162MEDICARE PINARIZONA

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: 11/21/2025

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