GEM STATE PEDIATRICS
NPI 1992853386
Pediatrics in Meridian, ID

Q: What is Gem State Pediatrics's NPI number?

The NPI number for Gem State Pediatrics is 1992853386. It was assigned to this organization in the NPPES registry on January 8, 2007.

Q: What is Gem State Pediatrics's specialty?

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

Active since January 08, 2007

520 S EAGLE RD, SUITE 1209, MERIDIAN, ID 83642(208) 706-5460(208) 706-5465 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gem State Pediatrics NPPES

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

GEM STATE PEDIATRICS (NPI 1992853386) is a healthcare organization registered as a pediatrics in Meridian, Idaho and active in the NPI registry since January 2007. The organization lists Mario Brus, Owner, as its authorized official.

NPPES Registry Identity

NPI1992853386

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameGEM STATE PEDIATRICS

Location Address520 S EAGLE RD, SUITE 1209Meridian, ID 83642-6308

Mailing Address520 S Eagle Rd, Suite 1209Meridian, ID 83642-6308 · (208) 706-5460 · Fax (208) 706-5465

Phone(208) 706-5460

Fax(208) 706-5465

Organization SubpartNo

Authorized OfficialMario BrusOwner · (208) 706-5460

Enumeration DateJanuary 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1992853386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in ID · M5562

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.

520 S EAGLE RD, Meridian, ID 83642

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Other Identifiers 2

Other000010001341ID · Blue Shield Of Idaho

Other57885ID · Blue Cross Of Idaho

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.

DR. MAGGIE D. VUTURO MD

Urology (Urogynecology and Reconstructive Pelvic Surgery)

520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642

Ada County (208) 706-5800

MICHAEL J GRIFFITHS RPH

Pharmacist

520 S EAGLE RD
MERIDIAN, ID 83642

Ada County (208) 706-5255

ROBIN MCGAW HUGHES PT

Physical Therapist

520 S EAGLE RD
MERIDIAN, ID 83642

Ada County (208) 381-4757

MRS. AUDREY GYUNG NGUYEN PHARMD

Pharmacist (Pharmacotherapy)

520 S EAGLE RD
MERIDIAN, ID 83642

Ada County (208) 706-1523

MR. BENJAMIN WATSON PA-C

Physician Assistant (Medical)

520 S EAGLE RD, SUITE 1234
MERIDIAN, ID 83642

Ada County (661) 332-9138

NICOLE DANIELLE BORCYK OTR/L

Occupational Therapist

520 S EAGLE RD
MERIDIAN, ID 83642

Ada County (208) 706-5000

CRAIG R SPENCER MD

Urology

520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642

Ada County (208) 706-5800

TRAVIS G WILLIAMS DO

Internal Medicine (Medical Oncology)

520 S EAGLE RD
MERIDIAN, ID 83642

Ada County (208) 706-5651

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 Gem State Pediatrics's NPI number?

The NPI number for Gem State Pediatrics is 1992853386. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Gem State Pediatrics located?

Gem State Pediatrics is located at 520 S Eagle Rd Suite 1209, Meridian, ID 83642. The listed phone number is (208) 706-5460.

What is Gem State Pediatrics's specialty?

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

When was this NPI record last updated?

The NPPES record for Gem State Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.