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

Scott Tyler Ward, PA-C

Individual provider Physician Assistant · NPI 1053740258

Scott Tyler Ward, PA-C is a Physician Assistant in Meridian, Idaho. Qualified in 2013, 13 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2013
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

360 E Montvue Dr Ste 100
Meridian, ID 83642-6318
Phone: (208) 855-2900
Fax: (208) 898-9877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3399 E Louise Dr Ste 200, Meridian, ID 83642-5212 — (208) 706-2663

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1114 (ID)

Record details

NPI number1053740258
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2013
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Meridian