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

Individual provider Physician Assistant · NPI 1811998628

Thea Heaton, PA-C is a Physician Assistant in Nampa, Idaho. Qualified in 2003, 23 years ago. Practices with Dermatology Center of Canyon County, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
23
Licensed in
ID, OR
In the registry since
2005
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

318 2nd St S
Nampa, ID 83651-3765
Phone: (208) 467-3006
Fax: (208) 467-1155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA474 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA00597 (OR)

Record details

NPI number1811998628
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESFebruary 9, 2016
Mailing address318 2nd St S, Nampa, ID 83651-3765

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Dermatology Center Of Canyon County — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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