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

Individual provider Physician Assistant · NPI 1932797248

Logan Hill, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with Idaho Urologic Institute PA, a 20-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2021
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

1907 S Broadway Ave Ste 100
Boise, ID 83706-4228
Phone: (208) 345-1222
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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 PA-1988 (ID)

Record details

NPI number1932797248
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2021
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Idaho Urologic Institute Pa — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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