P Praxis·MD
● Active Type 1 · Individual

Jeffrey Leibman

Physician Assistant·Twin Falls, ID· NPI 1457079592 · Enumerated 2022 · 3 years on NPI
Leibman is 1 of 59 physician assistant providers in Twin Falls and 1 of 1263 in Idaho.
NPI age
3 years
Enumerated 2022-08-15
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-12-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-08Enumerated in NPPES
2022 2026

Where they practice

Practice location
625 Pole Line Rd W Ste 2a
Twin Falls, ID 833014270
📞 2088148600fax 2088148942
Mailing address
190 E Bannock St
Boise, ID 837126241

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #1961270 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Twin Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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