Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SKYLER ELLSWORTH, PA-C
Active Sole ProprietorSKYLER ELLSWORTH, PA-C is a Medical Physician Assistant healthcare provider located in MERIDIAN, Idaho. NPI 1932784386 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MERIDIAN, ID
Registration Details
- NPI Number
- 1932784386
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2021 (5.4518334799596 yrs)
- Last Updated
- Jun 4, 2025
- License
-
PA-2207 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1618 S MILLENIUM WAY STE 100MERIDIAN, ID, 836426457Browse ID providers · Browse ZIP 83642
- Phone
- 2088843376
- Fax
- 2088840858
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| RICK STEINBURG | PA-C | 1548265218 |
| MICHAEL ANDREW VALERIO | PA | 1437148434 |
| TIM R LOEWENSTEIN | PA | 1376597377 |
| TISH D DAVIS | PA-C | 1548201007 |
| SIS E OSTOLASA | PA | 1013952761 |
| MRS. MOLLY F ROY | PA-C | 1760414023 |
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.