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Deactivated NPI 1174535835 Deactivated / Inactive NPI Male Practitioner

Ian B Kunz , PA

Physician Assistant • Gooding, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ian Kunz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2006
NPI Deactivation Date February 26, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Ian Kunz, PA was a registered Physician Assistant practicing in Gooding, ID. Throughout an active medical career spanning 15 years, Ian Kunz provided care at the practice location at 134 4TH AVE W until profile deactivation on 2021-02-26.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

134 4th Ave W
267 N. Canyon Dr

Gooding, ID 83330

Telephone 2089344446
Fax 2089344442
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gooding, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Gooding, ID (1261 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
40 36 $125.00 $56.79

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA96

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Jason Davis , PA

Physician Assistant

NPI 1003127374

Physician Assistant

Nicole Odell , ARNP

Nurse Practitioner - Family

NPI 1083025225

Advanced Registered Nurse Practitioner

Tammy Dayley

Technician/Technologist

NPI 1083117402
Dr. Reid Lofgran , DO

Family Medicine

NPI 1144321753

Doctor of Osteopathic Medicine (D.O.)

NPI 1255834685

Certified Nursing Assistant

Dr. Dean Nelson , DO

Family Medicine

NPI 1285749101

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated February 26, 2021

Record deactivated on February 26, 2021

NPI Profile Active January 13, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 13, 2017

Registered at 267 N CANYON DRIVE, GOODING, ID 83330 (Tel: 2089344446)

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Updated Business Mailing Address January 13, 2017

Registered at 267 N CANYON DR, GOODING, ID 833305500 (Tel: 2089344446)

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Provider Name / Credentials Updated January 13, 2017

Recorded as IAN KUNZ, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2017

Physician Assistant (License #PA96 in ID)

NPI Profile Active March 07, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 07, 2016

Registered at 134 4TH AVE W, 267 N. CANYON DR, GOODING, ID 83330 (Tel: 2089344446)

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Updated Business Mailing Address March 07, 2016

Registered at 134 4TH AVE W, GOODING, ID 83330 (Tel: 2089344446)

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Provider Name / Credentials Updated March 07, 2016

Recorded as IAN KUNZ, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2016

Physician Assistant (License #PA96 in ID)

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Initial NPI Registration & Enumeration August 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174535835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: March 07, 2016
Deactivation Date: February 26, 2021

Mailing Address

134 4th Ave W

Gooding, ID 83330

Phone: 2089344446

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.