Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093895229 Individual Practitioner Male Practitioner

Dr. Mitchell Jackson Moffitt , MD

Pediatrics • Twin Falls, ID

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Moffitt, MD is a registered healthcare professional specializing in Pediatrics in Twin Falls, ID. Practice services are available at 775 POLE LINE RD W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

775 Pole Line Rd W
Suite 111

Twin Falls, ID 833015814

Telephone 2088148000
Fax 2087339402
Associated Practice Facility / Clinic
🏢 David Johnson, M.d., P. A. Facility NPI 1467499418

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Twin Falls, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Twin Falls, ID (228 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ID M-10017

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
807839500 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Dr. Blaine Gibby , DO

Family Medicine

NPI 1013443555

Doctor of Osteopathic Medicine (D.O.)

Stephanie Gorringe

Nurse Practitioner

NPI 1053801456
NPI 1194291823

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Kovic Bailey , DO

Family Medicine

NPI 1194467688

Doctor of Osteopathic Medicine (D.O.)

NPI 1215971593

Doctor of Medicine (M.D.)

Alanah Stieg , MS

Speech-Language Pathologist

NPI 1235023797

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2015

Registered at 775 POLE LINE RD W, SUITE 111, TWIN FALLS, ID 833015814 (Tel: 2088148000)

📍
Updated Business Mailing Address January 07, 2015

Registered at PO BOX 587, TWIN FALLS, ID 833030587 (Tel: 2088147400)

👤
Provider Name / Credentials Updated January 07, 2015

Recorded as MITCHELL MOFFITT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2015

Pediatrics (License #M-10017 in ID)

🟢
Initial NPI Registration & Enumeration October 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mitchell Moffitt. Be the first to share your experience!

Sign in to leave a review for Dr. Mitchell Moffitt

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093895229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2006
Last Update: January 07, 2015
Sole Proprietor: No

Mailing Address

Po Box 587

Twin Falls, ID 833030587

Phone: 2088147400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.