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

Mr. Jude Boutkaska, PA

Individual provider Medical Physician Assistant · NPI 1801948591

Mr. Jude Boutkaska, PA is a Physician Assistant in Boise, Idaho. Qualified in 1992, 34 years ago. Practices with Sage Healthcare PLLC, a 10-clinician group. Licensed in Idaho.

Years since qualifying
34
Licensed in
ID
In the registry since
2007
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

413 Allumbaugh St Ste 101
Boise, ID 83704-9212
Phone: (208) 362-6162
Fax: (208) 362-9604
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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 PA343 (ID)

Record details

NPI number1801948591
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Sage Healthcare Pllc — 10 clinicians
Accepts Medicare assignment Not indicated

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