Family Medicine & Medicine
NPI 1194136515ActiveOrganization· Physician Assistant· Ketchum, ID
Physician Assistant in Ketchum, Idaho, registered in NPPES in May 2014. The authorized official on file is Nanette Ford, P.A.-C, President.
Overview
| NPI | 1194136515 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2014 |
| Last updated in NPPES | May 20, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-126 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Physician Assistant providers in Ketchum
- 1881246106
- 1306055850
- 1790030518