Mr. Kodie Thomas
Mr. Kodie Thomas is a Physician Assistant in Emmett, Idaho. Qualified in 2019, 7 years ago. Practices with Quantum Healthcare Medical Associates of Arizona PC, a 36-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 7
- Licensed in
- AZ
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
2086 Picket LnEmmett, ID 83617-9104
Phone: (208) 369-1276
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 9134 (AZ) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1003376559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2019 |
| Last updated in NPPES | December 2, 2022 |
| Certification date | December 2, 2022 |
| Mailing address | 2086 Picket Ln, Emmett, ID 83617-9104 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Quantum Healthcare Medical Associates Of Arizona Pc — 36 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Emmett
-
Paden Gonzales
207 E 12th St, Emmett, ID 83617-3626 · (208) 365-1065
-
Megan Martinson
207 E 12th St, Emmett, ID 83617-3626 · (208) 365-1065
-
MS. Michele Miles, PA-C, MS
2001 E Quail Run Rd, Emmett, ID 83617-5059 · (208) 365-7131
-
MS. Desiree Darlene Reid, PA-C
1102 E Locust St, Emmett, ID 83617-2713 · (208) 365-6004
-
Sara Marie Williams
207 E 12th St, Emmett, ID 83617-3626 · (208) 365-1065