PHYSICIAN CENTER , A PROFESSIONAL COMPANY
NPI 1508807926
Family Medicine in Twin Falls, ID

NPI Status: Active since June 09, 2006

Contact Information

775 POLE LINE RD W
SUITES 105 & 111
TWIN FALLS, ID
ZIP 83301
Phone: (208) 814-8000
Fax: (208) 733-9402

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  • Organization
  • Family Medicine

About PHYSICIAN CENTER , A PROFESSIONAL COMPANY

This page provides the complete NPI Profile along with additional information for Physician Center , A Professional Company, a primary care provider established in Twin Falls, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1508807926 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Physician Center , A Professional Company operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mitchell J Moffitt M.d. (Physician)

NPI
1508807926
Provider Name
PHYSICIAN CENTER , A PROFESSIONAL COMPANY
Entity Type
Organization
Location Address
775 POLE LINE RD W SUITES 105 & 111 TWIN FALLS, ID 83301
Location Phone
(208) 814-8000
Location Fax
(208) 733-9402
Mailing Address
775 POLE LINE RD W SUITES 105 & 111 TWIN FALLS, ID 83301
Mailing Phone
(208) 814-8000
Mailing Fax
(208) 733-9402
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2006
Last Update Date
03-09-2013
Code Navigator

A primary care provider (PCP) like Physician Center , A Professional Company sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
22083X0100XAllopathic & Osteopathic Physicians

Preventive Medicine
Occupational Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MITCHELL J MOFFITT M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(208) 814-8000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1374354MEDICARE ID-TYPE UNSPECIFIED (04)IDMEDICARE NUMBER
1039210001MEDICARE NSC (07)ID 
002746900MEDICAID (05)ID 
CD3787OTHER (01)IDRR MEDICARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508807926
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081601494
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 6 + 0 + 1 + 4 + 9 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1508807926 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215971593 DANIEL G PREUCIL M.D.
Individual
Family Medicine775 POLE LINE RD W SUITE 105
TWIN FALLS, ID 83301
(208) 814-8000
1619904638 DOUGLAS L STAGG M.D.
Individual
Preventive Medicine (Occupational Medicine)775 POLE LINE RD W SUITE 101
TWIN FALLS, ID 83301
(208) 814-8100
1619909280 DENNIS R SAWYER P.A.-C
Individual
Physician Assistant775 POLE LINE RD W SUITE 112
TWIN FALLS, ID 83301
(208) 814-8200
1114947389DR. RONALD WILLIAM BLAIR D.O.
Individual
Surgery775 POLE LINE RD W SUITE 212
TWIN FALLS, ID 83301
(208) 814-8400
1285742452 HEATHER MERTEN KOHRING FNP-C
Individual
Nurse Practitioner775 POLE LINE RD W SUITE 203
TWIN FALLS, ID 83301
(208) 814-8300
1467499418DAVID JOHNSON, M.D., P. A.
Organization
Surgery (Vascular Surgery)775 POLE LINE RD W SUITE 213
TWIN FALLS, ID 83301
(208) 814-8475
1144267022BLUE LAKES GASTROENTEROLOGY, PLLC
Organization
Internal Medicine (Gastroenterology)775 POLE LINE RD W SUITE 203
TWIN FALLS, ID 83301
(208) 814-8300
1407894041BRUCE C MCCOMAS, M. D., P. A.
Organization
Surgery775 POLE LINE RD W SUITE 212
TWIN FALLS, ID 83301
(208) 814-8400
1538108394ARTHRITIS CENTER OF IDAHO,PA
Organization
Internal Medicine (Rheumatology)775 POLE LINE RD W SUITE 115
TWIN FALLS, ID 83301
(208) 814-8150
1821299553BLUE LAKES GASTROENTEROLOGY PLLC
Organization
Nurse Practitioner775 POLE LINE RD W SUITE 203
TWIN FALLS, ID 83301
(208) 814-8300
1245414028PHYSICIAN CENTER A PROFESSIONAL COMPANY MID LEVEL
Organization
Family Medicine775 POLE LINE RD W SUITE 105 & 111
TWIN FALLS, ID 83301
(208) 814-8000
1861549396 GRETCHEN G BASEN PA-C
Individual
Physician Assistant775 POLE LINE RD W SUITE 115
TWIN FALLS, ID 83301
(208) 814-8150
1942601232MRS. BRENDA O'NEIL DPT
Individual
Physical Therapist775 POLE LINE RD W SUITE 307
TWIN FALLS, ID 83301
(208) 814-2495
1124061262 JOHN A BAKER M.D.
Individual
Internal Medicine775 POLE LINE RD W SUITE 302
TWIN FALLS, ID 83301
(208) 814-8600
1346213303 DARYL G FICKLIN DO
Individual
Internal Medicine775 POLE LINE RD W SUITE 302
TWIN FALLS, ID 83301
(208) 814-8600
1548222516 SETH N WHEELER MD
Individual
Internal Medicine (Gastroenterology)775 POLE LINE RD W SUITE 203
TWIN FALLS, ID 83301
(208) 814-8300
1649226127DR. DENNIS M ENOMOTO MD
Individual
Internal Medicine (Cardiovascular Disease)775 POLE LINE RD W SUITE 112
TWIN FALLS, ID 83301
(208) 814-8200
1407896855 DAVID A MCCLUSKY M.D.
Individual
Surgery775 POLE LINE RD W SUITE 214
TWIN FALLS, ID 83301
(208) 814-8425
1821038282 PATRICK P DESMOND M.D.
Individual
Internal Medicine775 POLE LINE RD W SUITE 312
TWIN FALLS, ID 83301
(208) 814-8600
1649213729 JOHN F TROTTER M.D.
Individual
Pediatrics775 POLE LINE RD W SUITE 111
TWIN FALLS, ID 83301
(208) 814-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508807926, enumerated in the NPI registry as an "organization" on June 09, 2006

The provider is located at 775 Pole Line Rd W Suites 105 & 111 Twin Falls, Id 83301 and the phone number is (208) 814-8000

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.