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

Robert Creighton Shumway, PA-C, CAQ-PSYCH

Individual provider Physician Assistant · NPI 1942784756

Robert Creighton Shumway, PA-C, CAQ-PSYCH is a Physician Assistant in Saint Anthony, Idaho. Qualified in 2018, 8 years ago. Practices with Upper Valley Community Health Services Inc, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
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

335 E Main St Ste 3
Saint Anthony, ID 83445-1546
Phone: (208) 356-4900
Fax: (208) 624-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 72 S 1st E Ste 103, Rexburg, ID 83440-1902 — (208) 356-4900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1662 (ID)

Record details

NPI number1942784756
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , CAQ-PSYCH
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Upper Valley Community Health Services Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Anthony