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

Mr. Andrew William Baukol, PA-C

Individual provider Physician Assistant · NPI 1578808333

Mr. Andrew William Baukol, PA-C is a Physician Assistant in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
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

2939 W Excursion Ln
Meridian, ID 83642-5308
Phone: (208) 385-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (ID)

Record details

NPI number1578808333
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 5, 2012
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

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