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

Samuel Robert Stone, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275263428

Samuel Robert Stone, PA-C is a Student in an Organized Health Care Education/Training Program in Nampa, Idaho. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
Specialties on file
2
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

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone: (208) 205-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1055 N Curtis Rd, Boise, ID 83706-1309 — (208) 367-3221
  • 921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 — (208) 282-4726

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2335 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275263428
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2022
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022
Mailing address921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002

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