PEDIATRIC NEUROLOGY - IDAHO FALLS
NPI 1669918769
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Idaho Falls, ID
NPI Status: Active since January 12, 2017
Contact Information
1645 PANCHERI DR
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 227-1460
- Organization
- Psychiatry & Neurology
- Neurology with Special Qualifications in...
- Accepts Insurance
About PEDIATRIC NEUROLOGY - IDAHO FALLS
This page provides the complete NPI Profile along with additional information for Pediatric Neurology - Idaho Falls, a provider established in Idaho Falls, Idaho operating as a Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1669918769 assigned on January 2017. The practitioner's primary taxonomy code is 2084N0402X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Pediatric Neurology - Idaho Falls operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pediatric Neurology - Idaho Falls. The authorized official of this NPI record is Edward Clark Md (Department Chair)
- NPI
- 1669918769
- Provider Legal Name
- UNIVERSITY OF UTAH PEDIATRIC SERVICES
- Other Organization Name
- PEDIATRIC NEUROLOGY - IDAHO FALLS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1645 PANCHERI DR IDAHO FALLS, ID 83402
- Location Phone
- (208) 227-1460
- Mailing Address
- PO BOX 841450 LOS ANGELES, CA 90084
- Mailing Phone
- (801) 213-3900
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-12-2017
- Last Update Date
- 05-21-2020
- Code Navigator
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
Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology
- Taxonomy Code
- 2084N0402X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
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:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
- U Health Plus Silver - EPO
- U Health Plus Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669918769, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669918769, enumerated as an "organization" on January 12, 2017.
The provider is located at 1645 PANCHERI DR IDAHO FALLS, ID 83402 and the phone number is (208) 227-1460.
Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.
The provider might be accepting Accepts: Molina Healthcare and University of Utah Health. Please consult your insurance carrier or call the provider to verify.
