Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Medicine & Medicine

Organization Physician Assistant · NPI 1194136515

Family Medicine & Medicine is a Physician Assistant in Ketchum, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014

Practice location Address checks out

380 Washington Ave Ste 204
Ketchum, ID 83340-1575
Phone: (208) 725-0900
Fax: (208) 725-0901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-126 (ID)

Record details

NPI number1194136515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nanette Ford — President · (208) 725-0900
NPI enumeratedMay 20, 2014
Last updated in NPPESMay 20, 2014
Mailing addressPo Box 1575, Ketchum, ID 83340-1575

Other providers in Ketchum