SNAKE RIVER PEDIATRICS, PC - NPI 1871952267 - Pediatrics in Fruitland, ID

Q: What is Snake River Pediatrics, PC's NPI number?

The NPI number for Snake River Pediatrics, PC is 1871952267. It was assigned to this organization in the NPPES registry on February 15, 2016.

Q: What is Snake River Pediatrics, PC's specialty?

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

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About Snake River Pediatrics, Pc NPPES

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

SNAKE RIVER PEDIATRICS, PC (NPI 1871952267) is a healthcare organization registered as a pediatrics in Fruitland, Idaho and active in the NPI registry since February 2016. The organization lists Matthew Joseph Berria, President, as its authorized official.

NPPES Registry Identity

NPI1871952267

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSNAKE RIVER PEDIATRICS, PC

Location Address1100 NW 12TH STFruitland, ID 83619-5040

Mailing Address1100 Nw 12th StFruitland, ID 83619-5040 · (208) 452-6556 · Fax (541) 216-6557

Phone(208) 452-6556

Fax(541) 216-6557

Organization SubpartNo

Authorized OfficialMatthew Joseph BerriaPresident · (208) 740-4518

Enumeration DateFebruary 15, 2016

Last NPPES UpdateFebruary 1, 2024

NPPES CertifiedFebruary 1, 2024

✔ NPI 1871952267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

1100 NW 12TH ST, Fruitland, ID 83619

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

BRADI FRITTS LCSW

Social Worker (Clinical)