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

Zachary Ronald Grunig, PA-C

Individual provider Physician Assistant · NPI 1649625963

Zachary Ronald Grunig, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2015, 11 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2016
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

287 W Jefferson St
Boise, ID 83702-6045
Phone: (208) 322-1680
Fax: (208) 385-7708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 633 N 4th St, Boise, ID 83702-4510 — (208) 342-9800
  • 1825 S Kimball Ave, Caldwell, ID 83605-4828 — (208) 455-3535

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2164 (ID)

Record details

NPI number1649625963
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 25, 2016
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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