PICU ASSOCIATES, LLC – NPI #1073608378
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

PICU ASSOCIATES, LLC is a provider located in BOISE, ID. NPPES has assigned the NPI number 1073608378 to PICU ASSOCIATES, LLC on October 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PICU ASSOCIATES, LLC below.

NPI Profile for
PICU ASSOCIATES, LLC

NPI Number
1073608378
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PICU ASSOCIATES, LLC
Primary location
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone: (208) 429-6693 Fax:
Mailing address
PO BOX 994032
REDDING, CA 96099
Phone: (530) 241-0473 Fax: (530) 241-5377
Organization Subpart
No
Authorized Official
PAUL JANSEN
OWNER/PHYSICIAN
Phone: (208) 429-6693
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.