Individual provider · Type 1 NPI

Keily Maya Tomchak, PA-C

Physician Assistant · Idaho Falls, ID

NPI number 1689302911 Active

Practice location

1550 Elk Creek Dr
Idaho Falls, ID 83404-8322

Call (208) 524-6308 Map

Other practice locations

  • 3339 Valencia Dr, Idaho Falls, ID 83404-7556 · (208) 524-6308

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5071491 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689302911

Keily Maya Tomchak, PA-C's National Provider Identifier is 1689302911, issued on Aug 14, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 6, 2026.