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

Roger David Cushman, PA

Individual provider Medical Physician Assistant · NPI 1578742615

Roger David Cushman, PA is a Medical Physician Assistant in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
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

2302 E Terry St
Pocatello, ID 83201
Phone: (208) 235-5910
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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 GPA-034 (ID)

Record details

NPI number1578742615
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 25, 2007
Last updated in NPPESOctober 25, 2007

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