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

Caden Johnson, PA

Individual provider Physician Assistant · NPI 1104506567

Caden Johnson, PA is a Physician Assistant in Eagle, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2025 E Riverside Dr Ste 160
Eagle, ID 83616-7604
Phone: (208) 900-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104506567
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESSeptember 2, 2025
Certification dateAugust 8, 2025
Mailing address2025 E Riverside Dr Ste 160, Eagle, ID 83616-7604

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