IndividualActive
Jason Overocker, PA-C
NPI 1033581269 · Surgical Physician Assistant · Boise, ID
Provider details
- NPI number
- 1033581269
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA-1466 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
305 E Jefferson St
Boise, ID 83712-6231
Phone: (208) 381-7370
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 3100 Channing WayIdaho Falls, ID 83404-7533Phone: (706) 863-9595Fax: (706) 447-7184
Registry dates
- Enumerated
- 2015-10-27
- Last updated
- 2023-03-14
- Certified
- 2023-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.