Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kody Kurtis Tew, PA-C

Individual provider Medical Physician Assistant · NPI 1760724744

Kody Kurtis Tew, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2012, 14 years ago. Practices with Simpson Dermcare and Family Medicine PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2013
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

2088 E 25th St
Idaho Falls, ID 83404-6490
Phone: (208) 528-7655
Fax: (208) 524-9390
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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 PA-1057 (ID)

Record details

NPI number1760724744
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 18, 2013
Last updated in NPPESMarch 18, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Simpson Dermcare And Family Medicine Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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