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

Ryan Theodore Caldwell

Individual provider Physician Assistant · NPI 1598464315

Ryan Theodore Caldwell is a Physician Assistant in Boise, Idaho. Qualified in 2025, 1 year ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone: (208) 302-2600
Fax: (208) 302-2625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 North Ave, Grand Junction, CO 81501-3122 — (210) 313-6035

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9171373 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1598464315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2023
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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