Southeast First Assistant LLC
NPI 1790158459 · Surgical Physician Assistant · Athol, ID
Southeast First Assistant LLC is a Surgical Physician Assistant organization in Athol, ID (NPI 1790158459).
Provider details
- NPI number
- 1790158459
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Drew Johnson, Owner(208) 215-6411
- License
- PA-1167 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-11-03
- Last updated
- 2015-11-03
Frequently asked questions
- What is Southeast First Assistant LLC's NPI number?
- Southeast First Assistant LLC's National Provider Identifier (NPI) is 1790158459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast First Assistant LLC?
- Southeast First Assistant LLC is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southeast First Assistant LLC located?
- Southeast First Assistant LLC's practice location on file with NPPES is 12473 E Nunn Rd, Athol, ID 83801-9311.
- What is Southeast First Assistant LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast First Assistant LLC is (208) 215-6411.
- Who is the authorized official for Southeast First Assistant LLC?
- The authorized official listed on Southeast First Assistant LLC's NPPES record is Drew Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast First Assistant LLC's NPI active?
- Yes — Southeast First Assistant LLC's NPI (1790158459) is active in the NPPES registry as of the last update on 2015-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.