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

Individual provider Physician Assistant · NPI 1114436672

Thomas Ryan Giles, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2017, 9 years ago. Practices with Boise Radiology Group PLLC, a 63-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
9
Licensed in
ID, OR
In the registry since
2017
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

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2094
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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 PA-2317 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA184708 (OR)

Record details

NPI number1114436672
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022

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 Boise Radiology Group Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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