NPIMap

Individual provider Active NPI

Austin Heath Rasmussen, PA-C

  • Medical Physician Assistant
  • Gooding, ID
National Provider Identifier
1124306295
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-1045 Issued in ID
Practice address
637 Pine St
Gooding, ID 83330-1755
Phone
(208) 934-8390
NPI assigned
Jul 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Emergency Medicine Physician 207P00000X 60236691 WA
Medical Physician Assistant 363AM0700X PA-1045 ID Primary

Addresses

Primary practice location

637 Pine St
Gooding, ID 83330-1755

Mailing address

637 Pine St
Gooding, ID 83330-1755
Phone (208) 934-8390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130613000510 ID Practitioner - Physician Assistant 5799958773 Reassigns benefits to 9 organizations
I20180601001418 WY Practitioner - Physician Assistant 5799958773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60236691WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Canyon Medical Center, Inc. CurrentSince Oct 1, 2022 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Oct 1, 2022 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Jan 1, 2025 Accepting new patients
Urgent Care Associates PLLC Current Accepting new patients
Urgent Care of Idaho, LLC CurrentSince Nov 1, 2014 Accepting new patients
Urgent Care of Idaho, LLC CurrentSince Nov 1, 2014 Accepting new patients
Caribou Medical Center, Inc CurrentSince Jul 6, 2025 Accepting new patients
Idaho Emergency Physicians, P.a. Emergency Medicine PastSince Dec 1, 2011 Accepting new patients

Locations

382 N Overland Ave
Burley, ID 83318
Phone (208) 378-7700

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

133 W Avenue A
#B
Jerome, ID 83338
Phone (208) 324-2004

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1124306295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 PINE ST",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833301755",
            "telephone_number": "208-934-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 PINE ST",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833301755",
            "telephone_number": "208-934-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "AUSTIN",
        "middle_name": "HEATH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "60236691",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gooding, ID

Sources for this page

Verify at the official NPI Registry.