Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jared Rex Wortham, DO

Individual provider Pediatrics Physician · NPI 1902241235

Jared Rex Wortham, DO is a Pediatrics Physician in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

500 S 11th Ave Ste 204
Pocatello, ID 83201-4878
Phone: (208) 232-3303
Fax: (855) 227-6711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence O-0924 (ID)

Record details

NPI number1902241235
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 30, 2013
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

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