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ADA PEDIATRICS P.A. NPI 1609805779


NPI Information

NPI: 1609805779
Provider Name: ADA PEDIATRICS, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 13D0521701

Address:
650 N COLE RD
BOISE, ID
ZIP 83704
Phone: (208) 323-1222
Get Directions

ADA PEDIATRICS, P.A. is a pediatrics in Boise, ID. The provider is 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. ADA PEDIATRICS, P.A. NPI is 1609805779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

650 N COLE RD
BOISE, ID
ZIP 83704-117
Phone: (208) 323-1222
Fax: (208) 323-1825

The provider's authorized official is Robert E Lindsay .
The authorized official title is Owner and has the following contact phone number (208) 323-1222.

The CLIA number assigned to this NPI record is 13D0521701 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000010006736OTHERREGENCE BS OF IDAHO
286611OTHERBLUE CROSS OF IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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