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

Keily Maya Tomchak, PA-C

Individual provider Physician Assistant · NPI 1689302911

Keily Maya Tomchak, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2022
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

1550 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone: (208) 524-6308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3339 Valencia Dr, Idaho Falls, ID 83404-7556 — (208) 524-6308

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5071491 (ID)

Record details

NPI number1689302911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2022
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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