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

Matthew Thomas Carr

Individual provider Physician Assistant · NPI 1629846423

Matthew Thomas Carr is a Physician Assistant in McCall, Idaho. Qualified in 2023, 3 years ago. Practices with St Lukes Clinic - McCall LLC, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023

Practice location Address checks out

211 Forest St
McCall, ID 83638-5256
Phone: (208) 634-2225
Fax: (208) 634-7212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9887 W Barnsdale Dr, Boise, ID 83704-2102 — (208) 954-2309

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2632 (ID)

Record details

NPI number1629846423
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2023
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Lukes Clinic - McCall Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in McCall