Travis Wahl
Travis Wahl is a Physician Assistant in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Idaho.
- Years since qualifying
- 5
- Licensed in
- AZ, ID
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Boise, IDNo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 435 N 5th St, Phoenix, AZ 85004-2157 — (602) 827-2450
- 6140 W Curtisian Ave Ste 300, Boise, ID 83704-0107 — (208) 302-0000
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-2138 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (AZ) |
Record details
| NPI number | 1528653045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2021 |
| Last updated in NPPES | October 17, 2024 |
| Certification date | October 17, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 6 on file with Medicare |
Payments from drug and device companies, 2025
| Food and Beverage | $114 |
|---|
Practises at
- St Luke'S McCall Hospital · McCall, ID · listed as St Luke's McCall Ltd
- St Luke'S Regional Medical Center Hospital · Boise, ID
- St Luke'S Wood River Medical Center Hospital · Ketchum, ID · listed as St Luke's Medical Center Wood River Ltd
- St Luke'S Nampa Medical Center Hospital · Nampa, ID
Colleagues at St Lukes Clinic-Treasure Valley LLC
- Emily Burnett, AUD Audiologist · Fruitland, ID
- Anthony Christopher Derrico, DO Emergency Medical Services (Emergency Medicine) Physician · Coeur D Alene, ID
- Elli Fox, PA Physician Assistant · Meridian, ID
- Jennifer Lynne Holliday, MD Family Medicine Physician · Boise, ID
- Mrs. Kristina Leeann Liebenthal, FNP-C Family Nurse Practitioner · Boise, ID
- Samantha Alix Mitro Registered Dietitian · Meridian, ID
- Brian P Nolan, DO Cardiovascular Disease Physician · Meridian, ID
- Carissa Pereda, MD Internal Medicine Physician · Boise, ID
- Glen A Pollock, MD Neurological Surgery Physician · Milwaukee, WI
- Rosemarie Orene Serrone, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Boise, ID
- Tyler S Stewart, PA Physician Assistant · Boise, ID
- Javlyn Dickson Weaver, PA Physician Assistant · Mountain Home, ID
Other providers in Boise
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Tessa Elizabeth Vasconi
Student / training record Boise, ID
-
Merrill Velez
Student / training record Boise, ID
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Ana Velic, MD
Student / training record Boise, ID
-
Luke Verst
Student / training record Boise, ID
-
Carson Walker
Student / training record Boise, ID
-
Izak Pierce Walker, MD
Student / training record Boise, ID
-
Jonathan Wesley Wallace, MD
Student / training record Boise, ID
-
David Allen Waterman, MD
Student / training record Boise, ID