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

Phillip Marlowe, PA-C

Individual provider Physician Assistant · NPI 1760044424

Phillip Marlowe, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2019, 7 years ago. Practices with Wallace C Baker, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
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

3422 S 15th E
Idaho Falls, ID 83404-8262
Phone: (208) 529-9292
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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-1886 (ID)

Record details

NPI number1760044424
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wallace C Baker — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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