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

Matthew Thomas Carr

Individual provider Physician Assistant · NPI 1629846423

Matthew Thomas Carr is a Physician Assistant in McCall, Idaho. Qualified in 2023, 3 years ago. Practices with St Lukes Clinic - McCall LLC, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023

Practice location Address checks out

211 Forest St
McCall, ID 83638-5256
Phone: (208) 634-2225
Fax: (208) 634-7212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9887 W Barnsdale Dr, Boise, ID 83704-2102 — (208) 954-2309

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2632 (ID)

Record details

NPI number1629846423
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2023
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Lukes Clinic - McCall Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in McCall