Active NPI
Jason T Rinker
- Medical Physician Assistant
- Idaho Falls, ID
National Provider Identifier
1609492347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1995 E 17TH St
Idaho Falls, ID 83404-6493 - Phone
- (208) 538-1999
- NPI assigned
- Jun 18, 2020
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
1995 E 17TH St
Idaho Falls, ID 83404-6493
Mailing address
1995 E 17TH St
Idaho Falls, ID 83404-6493
Phone (208) 538-1999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| MVH BMC LLC | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients |
Locations
1441 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600
267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Blackfoot, ID
- NPI 1649699174
-
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
ID
-
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1467816579
-
- Medicare Defined Swing Bed Hospital Unit
- Gooding, ID
- NPI 1275703241
-
- Radiology Clinic/Center
- Twin Falls, ID
- NPI 1700641636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1609492347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046493",
"telephone_number": "208-538-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046493",
"telephone_number": "208-538-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINKER",
"first_name": "JASON",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-18",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.