North Idaho Family Practice LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

NORTH IDAHO FAMILY PRACTICE LLC

Practice address

1101 E Polston Ave Ste B
Post Falls, ID 83854-6045

Phone

(208) 770-8848

NPI assigned

Jan 31, 2025

Last updated

Mar 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Wade Bozarth, PA-CNPI 1326440827

Title

Owner

Phone

(208) 770-8848

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Wade Bozarth, PA-C

  • Medical Physician Assistant
  • Post Falls, ID
  • NPI 1326440827
  NPD Authorized official

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1780497859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E POLSTON AVE STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546045",
            "telephone_number": "208-747-1776",
            "fax_number": "208-747-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E POLSTON AVE STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546045",
            "telephone_number": "208-770-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "BOZARTH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-770-8848",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Idaho Day Surgery LLC
• North Idaho Day Surgery LLC
• North Idaho Detox
• North Idaho Family Care
• North Idaho Family Physicians, LLC (After Hours Urgent Care Clinic)
• North Idaho Immediate Care
• North Idaho Neurosurgery and Spine, PLLC
• North Idaho Plastic and Reconstructive Surgery Inc.
• North Idaho Rehabilitation Medicine, PLLC
• North Idaho Worker Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.