Individual provider Active NPI

Jerry D Twiggs, M.D.

  • Pediatric Adolescent Medicine Physician
  • St. George, UT
National Provider Identifier
1972583680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
88-178110-1205 Issued in UT
Practice address
1240 E 100 S #14
St. George, UT 84790
Phone
(435) 628-8232
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 88-178110-1205 UT Primary

Addresses

Primary practice location

1240 E 100 S #14
St. George, UT 84790

Mailing address

1240 E 100 S #14
Building 14
St. George, UT 84790
Phone (435) 628-8232

Other identifiers 1

IdentifierTypeStateIssuer
09165MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140414000394 UT Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0345472908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88-178110-1205UTMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. Past Accepting new patients
Night Light Pediatrics LLC Adolescent Medicine Past Accepting new patients
Jerry D Twiggs MD PC Adolescent Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972583680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S #14",
            "address_2": "BUILDING 14",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-628-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S #14",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-628-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWIGGS",
        "first_name": "JERRY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "UT",
            "license": "88-178110-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09165",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. George, UT

Sources for this page

Verify at the official NPI Registry.