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

Jonathan B Miller, PA-C

Individual provider Medical Physician Assistant · NPI 1376570440

Jonathan B Miller, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2004, 22 years ago. Practices with Southwest Idaho Ear Nose and Throat, a 15-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
22
Licensed in
ID, OR
In the registry since
2006
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

900 N Liberty St Ste 400
Boise, ID 83704-8707
Phone: (208) 367-3320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01356 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA549 (ID)

Record details

NPI number1376570440
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address900 N Liberty St Ste 400, Boise, ID 83704-8707

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Southwest Idaho Ear Nose And Throat — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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