PEDIATRIC NEUROLOGY - IDAHO FALLS
NPI 1669918769
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Idaho Falls, ID

Q: What is University Of Utah Pediatric Services's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Active since January 12, 2017

1645 PANCHERI DR, IDAHO FALLS, ID 83402(208) 227-1460 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 21, 2020, Dec 14, 2019, Jan 12, 2017 (3 updates tracked since 2017).

On this page

About Pediatric Neurology - Idaho Falls NPPES

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

PEDIATRIC NEUROLOGY - IDAHO FALLS (NPI 1669918769) is a healthcare organization registered as a neurology with special qualifications in child neurology in Idaho Falls, Idaho and active in the NPI registry since January 2017. The organization lists Edward Clark, Department Chair, as its authorized official.

NPPES Registry Identity

NPI1669918769

Entity TypeOrganization

Primary Taxonomy2084N0402X

Legal Business NameUNIVERSITY OF UTAH PEDIATRIC SERVICES

Location Address1645 PANCHERI DRIdaho Falls, ID 83402-3169

Mailing AddressPo Box 841450Los Angeles, CA 90084-1450 · (801) 213-3900

Phone(208) 227-1460

Organization SubpartYes

Authorized OfficialEdward ClarkDepartment Chair · (801) 587-6336

Enumeration DateJanuary 12, 2017

Last NPPES UpdateMay 21, 20203 updates tracked since enumeration

NPPES CertifiedMay 21, 2020

✔ NPI 1669918769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

Definition

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.

Also ListedPediatricsTaxonomy 208000000X

1645 PANCHERI DR, Idaho Falls, ID 83402

Open in Google Maps ↗

Other Names 1

Doing Business AsPediatric Neurology - Idaho Falls

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

Accepted Insurance

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

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 University Of Utah Pediatric Services's NPI number?

The NPI number for University Of Utah Pediatric Services is 1669918769. It was assigned to this organization in the NPPES registry on January 12, 2017. The provider is doing business as Pediatric Neurology - Idaho Falls.

Where is University Of Utah Pediatric Services located?

University Of Utah Pediatric Services is located at 1645 Pancheri Dr, Idaho Falls, ID 83402. The listed phone number is (208) 227-1460.

What is University Of Utah Pediatric Services's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

What insurance does University Of Utah Pediatric Services accept?

Health plans from Molina Healthcare and University of Utah Health Plans list University Of Utah Pediatric Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Utah Pediatric Services was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.