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

Robert E Shumaker, PA

Individual provider Medical Physician Assistant · NPI 1902867849

Robert E Shumaker, PA is a Physician Assistant in Boise, Idaho. Qualified in 2005, 21 years ago. Practices with Vibra Physicians LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Idaho and Pennsylvania.

Years since qualifying
21
Licensed in
ID, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1075 N Curtis Rd Ste 300
Boise, ID 83706
Phone: (208) 367-3330
Fax: (208) 367-3331
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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 · Licence PA-1361 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA052341 (PA)

Record details

NPI number1902867849
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESMay 11, 2016
Mailing address3340 E Goldstone Way, Meridian, ID 83642-1026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Vibra Physicians Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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