Active NPI
Joel Thomas Webb, PA-C
- Physician Assistant
- Preston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-766
- Practice address
- 47 N 1St E
Preston, ID 83263 - Phone
- (208) 852-2900
- Fax
- (208) 852-3511
- NPI assigned
- Sep 8, 2008
- Last updated
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-766 | ID | Primary |
Addresses
Primary practice location
47 N 1St E
Preston, ID 83263
Mailing address
44 N 1St E
Preston, ID 83263-1326
Phone (208) 852-3662
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA-766 | Other | ID | PHYSICIAN ASSISTANT LICENSE |
| 1184872632 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 N 1St
Preston, ID 83263-1326
Phone (208) 852-0137
64 N 1St
Suite 200
Preston, ID 83263-1326
Phone (208) 852-3662
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin County Medical Center | Current | Accepting new patients | |
| Idaho Em I Medical Services PC | Physician Assistant | Past | Accepting new patients |
| Franklin County Medical Center | Past | Accepting new patients | |
| Pebble Creek Emergency Physicians PLLC | Past | Accepting new patients |
Locations
44 N 1st E
Preston, ID 83263
Phone (208) 852-0137
47 N 1st E
Preston, ID 83263
Phone (208) 852-2900
64 N 1st E
Ste 100
Preston, ID 83263
Phone (208) 852-0137
Interoperability endpoints
- joel.webb.1@17373.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FCMC Specialty Clinic
- Critical Access Hospital
- Preston, ID
- NPI 1548355811
-
dba FCMC Medical Clinic
- Rural Health Clinic/Center
- Preston, ID
- NPI 1144663543
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1053786467
Physician Assistant
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1386019784
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba FCMC Specialty Clinic
- Critical Access Hospital
- Preston, ID
- NPI 1548355811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1184872632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 N 1ST E",
"city": "PRESTON",
"state": "ID",
"postal_code": "832631326",
"telephone_number": "208-852-3662",
"fax_number": "208-852-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 N 1ST E",
"city": "PRESTON",
"state": "ID",
"postal_code": "83263",
"telephone_number": "208-852-2900",
"fax_number": "208-852-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "JOEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT LICENSE",
"identifier": "PA-766",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184872632",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Preston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.