THE PEDIATRIC CENTER
NPI 1073528998
Pediatrics in Idaho Falls, ID

Q: What is Medical Center For Children & Adolescents, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 29, 2006CLIA 13D2117285 · Waiver

3430 WASHINGTON PKWY, IDAHO FALLS, ID 83404(208) 523-3060 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About The Pediatric Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PEDIATRIC CENTER (NPI 1073528998) is a healthcare organization registered as a pediatrics in Idaho Falls, Idaho and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Michael Jude Pankau, President, as its authorized official.

NPPES Registry Identity

NPI1073528998

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMEDICAL CENTER FOR CHILDREN & ADOLESCENTS, PA

Location Address3430 WASHINGTON PKWYIdaho Falls, ID 83404-7579

Mailing Address3430 Washington PkwyIdaho Falls, ID 83404-7579 · (208) 523-3060

Phone(208) 523-3060

Organization SubpartNo

Authorized OfficialMichael Jude PankauPresident · (208) 523-3060

Enumeration DateJuly 29, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1073528998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

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.

3430 WASHINGTON PKWY, Idaho Falls, ID 83404

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Other Names 1

Doing Business AsThe Pediatric Center

Other Identifiers 2

Other85456ID · Blue Cross

Other000010006561ID · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2117285

The Pediatric Center · Rigby, ID

Active · expires Aug 11, 2026

CLIA Number13D2117285

Laboratory TypePhysician Office

Certificate Effective DateAugust 12, 2024

Certificate Expiration DateAugust 11, 2026

Laboratory DirectorBrad R. Edwards

Laboratory Phone(208) 523-3060

Laboratory LocationThe Pediatric Center530 Rigby Lakes Dr, Rigby, ID 83442

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY JOHN AUGHNEY D.O.

Pediatrics