1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Pediatrics
  6. NPI Profile

NEONATAL ASSOCIATES, PLLC
NPI 1790939056
Pediatrics - Neonatal-Perinatal Medicine in Idaho Falls, ID

Active since November 12, 2008
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-7165 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Neonatal Associates, Pllc NPPES

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

NEONATAL ASSOCIATES, PLLC (NPI 1790939056) is a healthcare organization registered as a neonatal-perinatal medicine in Idaho Falls, Idaho and active in the NPI registry since November 2008. The organization lists Shannon Jenkins, Manager, as its authorized official.

NPPES Registry Identity

NPI1790939056
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameNEONATAL ASSOCIATES, PLLC
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address3270 E 17th St # 207Ammon, ID 83406-6758 · (208) 529-7165
Phone(208) 529-7165
Organization SubpartNo
Authorized OfficialShannon JenkinsManager · (208) 529-7165
Enumeration DateNovember 12, 2008
✔ NPI 1790939056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in ID · 0-0424
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3100 CHANNING WAY, Idaho Falls, ID 83404
Open in Google Maps ↗

Other Identifiers 3

Medicaid808012100ID
Medicaid807241000ID
Medicaid8080270ID

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

Other Providers at the Same Location NPPES 20

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

CARL SAMUEL BRAYTON DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (714) 616-4454
REED D LOERTSCHER CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6285
ALEXIS R SIDDOWAY NP
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4432
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (801) 581-2121
MR. VENKATA KALYAN C BYRAPOGU MD
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 970-1123
TAYLOR JAMES CARSON
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 670-0407
NOOR ASHRAF NASSEF DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6111
DR. ALAN B WRAY M.D.
Radiology (Diagnostic Radiology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 227-2600

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 Neonatal Associates, PLLC's NPI number?

The NPI number for Neonatal Associates, PLLC is 1790939056. It was assigned to this organization in the NPPES registry on November 12, 2008.

Where is Neonatal Associates, PLLC located?

Neonatal Associates, PLLC is located at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-7165.

What is Neonatal Associates, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Neonatal Associates, PLLC was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.