Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADISON RAE GROBERG
Active Sole ProprietorMADISON RAE GROBERG is a Medical Physician Assistant healthcare provider located in AMMON, Idaho. NPI 1043837404 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · AMMON, ID
Registration Details
- NPI Number
- 1043837404
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2020 (5.9346000529978 yrs)
- Last Updated
- May 9, 2025
- License
-
PA-2019 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2705 E 17TH STAMMON, ID, 834066601Browse ID providers · Browse ZIP 83406
- Phone
- 2083467500
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in AMMON, ID
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID DEAN BUYS | PA-C | 1386743862 |
| MR. TRAVIS ARLEN CHRISTENSEN | PA-C | 1912076373 |
| JANNA K BAKER | PA-C | 1376842138 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.