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

Jeffery L Johnson, PA

Individual provider Physician Assistant · NPI 1609887801

Jeffery L Johnson, PA is a Physician Assistant in Eagle, Idaho. Qualified in 2002, 24 years ago. Practices with Dwyer and Harrington, PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
24
Licensed in
ID
In the registry since
2006
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

3217 W Bavaria St
Eagle, ID 83616
Phone: (208) 239-1000
Fax: (208) 239-2136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA416 (ID)

Record details

NPI number1609887801
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Dwyer And Harrington, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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