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

Justin G Firth

Individual provider Physician Assistant · NPI 1235864190

Justin G Firth is a Physician Assistant in Pocatello, Idaho. Qualified in 2024, 2 years ago. Practices with Life Change Associates PC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2022
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Practice location Address checks out

2520 S 5th Ave
Pocatello, ID 83204-1923
Phone: (208) 233-5433
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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 1461674 (ID)

Record details

NPI number1235864190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2022
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Life Change Associates Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pocatello