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INTERMOUNTIAN PEDIATRIC CLINIC PA
NPI 1093551319
Family Medicine in Boise, ID

Active since July 05, 2024
7722 W USTICK RD, BOISE, ID 83704(208) 322-1325(208) 327-0393 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Intermountian Pediatric Clinic Pa NPPES

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

INTERMOUNTIAN PEDIATRIC CLINIC PA (NPI 1093551319) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since July 2024. The organization lists Karen Louise Jambura, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093551319
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTERMOUNTIAN PEDIATRIC CLINIC PA
Location Address7722 W USTICK RDBoise, ID 83704-5845
Mailing Address7722 W Ustick RdBoise, ID 83704-5845 · (208) 322-1325 · Fax (208) 327-0393
Phone(208) 322-1325
Fax(208) 327-0393
Organization SubpartNo
Authorized OfficialKaren Louise JamburaOffice Manager · (208) 322-1325
Enumeration DateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
✔ NPI 1093551319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
7722 W USTICK RD, Boise, ID 83704
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

PARTNERS IN HEALTH
Family Medicine
7722 W USTICK RD
BOISE, ID 83704
Ada County (208) 322-1325
ALEXANDER COMBS DO
Family Medicine
7722 W USTICK RD
BOISE, ID 83704
Ada County (208) 322-1325
DR. RYOKO KAUSLER PHD, FNP-BC, MN, RN
Nurse Practitioner (Family)
7722 W USTICK RD
BOISE, ID 83704
Ada County (208) 994-2806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intermountian Pediatric Clinic PA's NPI number?

The NPI number for Intermountian Pediatric Clinic PA is 1093551319. It was assigned to this organization in the NPPES registry on July 5, 2024.

Where is Intermountian Pediatric Clinic PA located?

Intermountian Pediatric Clinic PA is located at 7722 W Ustick Rd, Boise, ID 83704. The listed phone number is (208) 322-1325.

What is Intermountian Pediatric Clinic PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Intermountian Pediatric Clinic PA was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.