Gem State Pediatrics in Meridian - Pediatrics
Gem State Pediatrics - NPI 1992853386
Gem State Pediatrics is a Pediatrics in Meridian, Idaho. Gem State Pediatrics practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gem State Pediatrics is 1992853386. The last update date is 2020-08-22.
Gem State Pediatrics's current location address is 520 S Eagle Rd, Meridian, Idaho. You can contact this provider via phone number 2087065460 and fax number 2087065465. The mailing address for Gem State Pediatrics is 520 S Eagle Rd, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gem State Pediatrics |
|---|---|
| Address | 520 S Eagle Rd, Meridian, Idaho |
| Phone Number | 2087065460 |
| Fax Number | 2087065465 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Brus Mario |
| Credentials | MD |
| Telephone Number | 2087065460 |
NPI Number Detail
| NPI Number | 1992853386 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 520 S Eagle Rd |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836426308 |
| Phone Number | 2087065460 |
| Fax Number | 2087065465 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | M5562 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57885 | ID | BLUE CROSS OF IDAHO | |
| 10001341 | ID | BLUE SHIELD OF IDAHO |
Post Comment/ Review Below
What is the unique identification code assigned to Gem State Pediatrics by the Centers for Medicare & Medicaid Services?
The Gem State Pediatrics has been issued the NPI (National Provider Identifier) 1992853386. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gem State Pediatrics is physically located?
The Gem State Pediatrics is physically situated at the following address: 520 S Eagle Rd, Meridian, ID, 836426308.
What is the area of specialization for Gem State Pediatrics, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gem State Pediatrics is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992853386 to Gem State Pediatrics?
The Centers for Medicare & Medicaid Services originally issued the 1992853386 to Gem State Pediatrics on 2007-01-08.
As of what date were the details related to Gem State Pediatrics most recently updated or revised?
The information pertaining to Gem State Pediatrics, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.