Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Ashley Dorosh, PA-C

Individual provider Physician Assistant · NPI 1558868067

Tara Ashley Dorosh, PA-C is a Physician Assistant in Coeur D Alene, Idaho. Qualified in 2017, 9 years ago. Practices with Cory Johnson, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2018
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

850 W Ironwood Dr Ste 301
Coeur D Alene, ID 83814-4903
Phone: (208) 667-9762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3372 E Jenalan, Post Falls, ID 83854-7787 — (208) 262-8700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1607 (ID)

Record details

NPI number1558868067
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cory Johnson — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Coeur D Alene