Jonathan B Pittard, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA804 Issued in ID

Practice address

243 Cheney Dr W Ste 200
Twin Falls, ID 83301-4278

Phone

(208) 736-7422

Fax

(208) 736-8905

NPI assigned

Sep 8, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Immediate Care of Twin Falls PAGroup PAC ID 0143460717, 9 clinicians

North Canyon Medical Center IncGroup PAC ID 0941371439, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Canyon Medical Center Hospital, Gooding, ID, CCN 131302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.pittard.1@29843.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Medicare reassignment Care Compare group
• Physicians Immediate Care of Twin Falls PA

  • Urgent Care Clinic/Center
  • Twin Falls, ID
  • NPI 1114141090
  Medicare reassignment Care Compare group
• North Canyon Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Gooding, ID
  • NPI 1275703241
  NPD
• North Canyon Medical Center, Inc.

  • Radiology Clinic/Center
  • Twin Falls, ID
  • NPI 1700641636
  NPD
• Inland Cardiology Associates, P.S.

  • Cardiovascular Disease Physician
  • Spokane, WA
  • NPI 1679522106
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1376876599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHENEY DR W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014277",
            "telephone_number": "208-736-7422",
            "fax_number": "208-736-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHENEY DR W STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014278",
            "telephone_number": "208-736-7422",
            "fax_number": "208-736-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTARD",
        "first_name": "JONATHAN",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA804",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald G Pica, M.D.
• Abbey Pickett, CF-SLP
• Cory A Pilling, DPM
• Pinecrest Academy of Idaho
• Gina Griffiths Piper, PHD CCC-SLP
• Rachel Dawn Pizano, RC
• Ethan Plager
• Mark A Plant, DDS, PA
• Andrew Luke Pocock, DDS
• Kent R Pocock, D.D.S.

• Medical Physician Assistant in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.