Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Matthew Frank Ivie, PA-C

Individual provider Medical Physician Assistant · NPI 1003325937

Mr. Matthew Frank Ivie, PA-C is a Physician Assistant in Gooding, Idaho. Qualified in 2017, 9 years ago. Practices with Teton Radiology Diagnostic a Series of Teton Group Enterprise, a 41-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
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

267 N Canyon Dr
Gooding, ID 83330-5500
Phone: (208) 934-4433
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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 (ID)

Record details

NPI number1003325937
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2017
Last updated in NPPESSeptember 22, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Teton Radiology Diagnostic A Series Of Teton Group Enterprise — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

Other providers in Gooding