Active NPI
Troy D Weston, PA
- Medical Physician Assistant
- Driggs, ID
National Provider Identifier
1396715371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA212
- Practice address
- 120 E Howard St
Teton Valley Health Care
Driggs, ID 83422-5112 - Phone
- (208) 354-6302
- Fax
- (208) 354-3158
- NPI assigned
- Jan 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA212 | ID | Primary |
| Physician Assistant | 363A00000X | PA 212 | ID |
Addresses
Primary practice location
120 E Howard St
Teton Valley Health Care
Driggs, ID 83422-5112
Mailing address
120 E Howard St
Teton Valley Health Care
Driggs, ID 83422-5112
Phone (208) 354-6302
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806633300 | Medicaid | ID | |
| PASRO | Other | ID | BLUE CROSS |
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
83 N Main St
Victor, ID 83455-1301
Phone (208) 354-6307
Hospital & facility affiliations
- Eden Home Health -Idahofalls
- Teton Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 212 | ID | MD | Physician Assistant |
| PA212 | ID | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Valley Health Care Inc | Current | Accepting new patients | |
| Teton Valley Health Care, Inc | Current | Accepting new patients | |
| Teton Valley Health Care, Inc | Medical | Current | Accepting new patients |
| Eastern Idaho Medical Consultants | Past | Accepting new patients | |
| Gooding County Hospital District | Past | Accepting new patients | |
| Pro Heal Hyperbarics & Wound Care | Past | Accepting new patients | |
| Medical Imaging Associates of Idaho Falls, Inc | Past | Accepting new patients |
Locations
120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302
283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302
Interoperability endpoints
- troy.weston.1@15468.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
-
- Rural Health Clinic/Center
- Driggs, ID
- NPI 1013264183
-
- Medicare Defined Swing Bed Hospital Unit
- Driggs, ID
- NPI 1053669598
-
- Internal Medicine Physician
- Idaho Falls, ID
- NPI 1326052630
-
- Critical Access Hospital
- Gooding, ID
- NPI 1295769537
-
- Diagnostic Radiology Physician
- Pocatello, ID
- NPI 1740225531
-
- Specialist
- Idaho Falls, ID
- NPI 1063527158
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1649683582
-
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1396715371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E HOWARD ST",
"address_2": "TETON VALLEY HEALTH CARE",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834225112",
"telephone_number": "208-354-6302",
"fax_number": "208-354-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E HOWARD ST",
"address_2": "TETON VALLEY HEALTH CARE",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834225112",
"telephone_number": "208-354-6302",
"fax_number": "208-354-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTON",
"first_name": "TROY",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA212",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA 212",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806633300",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PASRO",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.