Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902241235 Individual Practitioner Male Practitioner

Dr. Jared Rex Wortham , DO

Pediatrics • Moses Lake, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jared Wortham, DO is a registered healthcare professional specializing in Pediatrics in Moses Lake, WA. Practice services are available at 1550 S PIONEER WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1550 S Pioneer Way

Moses Lake, WA 988374613

Telephone 5097939787
Fax 5097643263
Associated Practice Facility / Clinic
🏢 Samaritan Inland Mri Llc Facility NPI 1376504803

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Moses Lake, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.7 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
14 Specialists

Practicing in Moses Lake, WA (1802 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

CMS Verified: 2026-05-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA OP61442055

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License ID O-0924

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
2253195 (WA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1164955191

Doctor of Medicine (M.D.)

Kimberlee Poole

Nurse Practitioner

NPI 1275539256
Dr. Sara Ali , MD

Pediatrics - Pediatric Endocrinology

NPI 1326481243

Doctor of Medicine (M.D.)

NPI 1831766187

Doctor of Medicine (M.D.)

NPI 1861061913

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address May 04, 2026

Registered at 1616 S PIONEER WAY, MOSES LAKE, WA 988372487 (Tel: 5097939715)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2026

Pediatrics (License #OP61442055 in WA)

📍
Updated Practice Location August 10, 2023

Registered at 1550 S PIONEER WAY, MOSES LAKE, WA 988374613 (Tel: 5097939787)

📍
Updated Business Mailing Address August 10, 2023

Registered at 660 S COOLIDGE ST, MOSES LAKE, WA 988371872 (Tel: 5097939715)

📍
Updated Practice Location May 09, 2023

Registered at 4750 YELLOWSTONE AVE, CHUBBUCK, ID 832022336 (Tel: 2082398055)

📍
Updated Business Mailing Address May 09, 2023

Registered at 530 VERN ST, CHUBBUCK, ID 832021627 (Tel: 2088749010)

NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2016

Registered at 2550 ADDISON AVE E, #A, TWIN FALLS, ID 833016749 (Tel: 2089339300)

📍
Updated Business Mailing Address July 18, 2016

Registered at 2550 ADDISON AVE E, #A, TWIN FALLS, ID 833016749 (Tel: 2089339300)

👤
Provider Name / Credentials Updated July 18, 2016

Recorded as JARED WORTHAM, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Pediatrics (License #O-0924 in ID)

🟢
Initial NPI Registration & Enumeration April 30, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902241235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2013
Last Update: May 04, 2026
Sole Proprietor: Yes

Mailing Address

1616 S Pioneer Way

Moses Lake, WA 988372487

Phone: 5097939715

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.