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

Merrick Gordon Reynolds, PA

Individual provider Medical Physician Assistant · NPI 1891097234

Merrick Gordon Reynolds, PA is a Physician Assistant in Twin Falls, Idaho. Qualified in 2010, 16 years ago. Practices with Innovative Family Medicine of Idaho PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

526 Shoup Ave W Ste E
Twin Falls, ID 83301-5050
Phone: (208) 733-1112
Fax: (208) 732-1212
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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 PA876 (ID)

Record details

NPI number1891097234
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 17, 2010
Last updated in NPPESNovember 17, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Innovative Family Medicine Of Idaho Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Twin Falls