Medical Imaging Assoc of Idaho Falls, PA
NPI 1043400484ActiveOrganization· Physician Assistant· Pocatello, ID
Physician Assistant in Pocatello, Idaho, registered in NPPES in August 2007, part of Medical Imaging Associates of Idaho Falls. The authorized official on file is Karen Marie Vaughn, Authorized Official.
Overview
| NPI | 1043400484 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Medical Imaging Associates of Idaho Falls |
| NPI issued | Aug 1, 2007 |
| Last updated in NPPES | Mar 23, 2026 |
| Certified by provider | Mar 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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