Tai Banta
Tai Banta is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2022, 4 years ago. Practices with Mark E Hinkson Dermatology PA, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 4
- Licensed in
- ID
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Idaho Falls, IDNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 — (208) 282-4726
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1467185843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 5, 2022 |
| Last updated in NPPES | October 14, 2022 |
| Certification date | October 14, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Mark E Hinkson Dermatology Pa — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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