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

Dean William Rodemack, PA-C

Individual provider Surgical Physician Assistant · NPI 1548543424

Dean William Rodemack, PA-C is a Physician Assistant in Fairfield, Idaho. Qualified in 2011, 15 years ago. Practices with Family Health Services Corporation, a 48-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
15
Licensed in
ID, WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

401 W Camas Ave
Fairfield, ID 83327
Phone: (208) 764-2611
Fax: (208) 933-4921
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-1020 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60245393 (WA)

Record details

NPI number1548543424
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2011
Last updated in NPPESApril 8, 2021
Certification dateMarch 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Family Health Services Corporation — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare