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

Daniel Thane Winward, PA-C

Individual provider Physician Assistant · NPI 1558838136

Daniel Thane Winward, PA-C is a Physician Assistant in Twin Falls, Idaho. Qualified in 2018, 8 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Nevada.

Years since qualifying
8
Licensed in
ID, NV
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2550 Addison Ave E
Twin Falls, ID 83301-6767
Phone: (208) 814-8000
Fax: (208) 933-9301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 540 N Nellis Blvd, Las Vegas, NV 89110-5368 — (702) 877-5199

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA0423 (NV)

Record details

NPI number1558838136
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2018
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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