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

Roger Scott Malm, PA

Individual provider Physician Assistant · NPI 1730190935

Roger Scott Malm, PA is a Physician Assistant in Nampa, Idaho. Qualified in 1997, 29 years ago. Practices with Cornerstone Whole Healthcare Organization Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
29
Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

824 S Diamond St
Nampa, ID 83686-5960
Phone: (208) 606-0396
Fax: (208) 936-7002
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA220 (ID)

Record details

NPI number1730190935
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Cornerstone Whole Healthcare Organization Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Nampa