Tyson Craig Parker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-690 Issued in ID

Practice address

3360 Washington Pkwy Ste 1
Idaho Falls, ID 83404-7592

Phone

(208) 524-3416

NPI assigned

Sep 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tony C Roisum MD PAGroup PAC ID 5991094864, 5 clinicians

Family First Medical Center PLLCGroup PAC ID 1052480076, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13787/brand/1/csg/1/fhir/r4
• Direct secure messaging: tyson.parker@ffmcif.eclinicaldirectplus.com

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.

• Tony C Roisum MD PA

  dba Idaho Falls Family & Sports Medicine

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1124115944
  Medicare reassignment Care Compare group NPD
• Family First Medical Center, PLLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1033314273
  Medicare reassignment Care Compare group
• Ashton Memorial, Inc.

  dba Youth and Family Renewal Services

  • Mental Health Counselor
  • Idaho Falls, ID
  • NPI 1003907163
  Medicare reassignment
• Ashton Memorial, Inc.

  dba Ashton Medical Clinic

  • Health Service Clinic/Center
  • Ashton, ID
  • NPI 1588991566
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastern Idaho Health Services Inc

  dba Eastern Idaho Regional Medical Center

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209
  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1295921484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 WASHINGTON PKWY STE 1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047592",
            "telephone_number": "208-524-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 WASHINGTON PKWY STE 1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047592",
            "telephone_number": "208-524-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TYSON",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Wylie Parker, DC, NMD
• Peter Parker, DC
• Randall M. Parker, LCSW, CADC
• Robert Ean Parker, BA
• Scott J Parker, M.D.
• Brant Parkinson, PA-C
• Craig James Parkinson, ATC, LAT
• Laura Parks, LSW
• Parkway Eyecare, P.C. (Parkway Eyecare)
• Parkwest Dental Care

• Physician Assistant in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.

Verify at the official NPI Registry.