Individual provider · Type 1 NPI

Corwin Ryan Ellsworth, PA-C

Physician Assistant · Twin Falls, ID

NPI number 1962634246 Active

Practice location

243 Cheney Dr W Ste 200
Twin Falls, ID 83301-3721

Call (208) 736-7422 Map

Fax (208) 736-8905

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-1575 (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 1962634246

Corwin Ryan Ellsworth, PA-C's National Provider Identifier is 1962634246, issued on Aug 20, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Twin Falls, ID. The record was last updated on Mar 23, 2026.