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

Jason Davis, PA

Individual provider Physician Assistant · NPI 1003127374

Jason Davis, PA is a Physician Assistant in Gooding, Idaho. Qualified in 2010, 16 years ago. Practices with North Canyon Medical Center Inc, a 72-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

267 N Canyon Dr
Gooding, ID 83330-5500
Phone: (208) 934-4446
Fax: (208) 934-4442
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA06785 (TX)

Record details

NPI number1003127374
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022
Mailing address267 N Canyon Dr, Gooding, ID 83330-5500

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice North Canyon Medical Center Inc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Gooding