Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan B Pittard, PA-C

Individual provider Medical Physician Assistant · NPI 1376876599

Jonathan B Pittard, PA-C is a Physician Assistant in Twin Falls, Idaho. Qualified in 2009, 17 years ago. Practices with Physicians Immediate Care of Twin Falls PA, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
17
Licensed in
ID
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

243 Cheney Dr W Ste 200
Twin Falls, ID 83301-4278
Phone: (208) 736-7422
Fax: (208) 736-8905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA804 (ID)

Record details

NPI number1376876599
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 8, 2009
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address243 Cheney Dr W, Twin Falls, ID 83301-4277

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Physicians Immediate Care Of Twin Falls Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Twin Falls