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

Mr. Tyson Craig Parker, PA-C

Individual provider Physician Assistant · NPI 1295921484

Mr. Tyson Craig Parker, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2007, 19 years ago. Practices with Tony C Roisum MD PA, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2007
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

3360 Washington Pkwy Ste 1
Idaho Falls, ID 83404-7592
Phone: (208) 524-3416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-690 (ID)

Record details

NPI number1295921484
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2007
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Tony C Roisum Md Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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