PEDIATRIC UROLOGY ASSOCIATES - IDAHO – NPI #1235675364
Urology

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

PEDIATRIC UROLOGY ASSOCIATES - IDAHO is an urologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1235675364 to PEDIATRIC UROLOGY ASSOCIATES - IDAHO on January 12, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC UROLOGY ASSOCIATES - IDAHO” is a dba name, the actual legal business name for this organization is UNIVERSITY OF UTAH PEDIATRIC SERVICES. The primary taxonomy selected by this provider is 2088P0231X from the Health Care Provider Taxonomy code set, which is classified as Urology, specializing in Pediatric Urology

The NPI profile was previously updated about 4 years ago on Apr 13, 2022. 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 PEDIATRIC UROLOGY ASSOCIATES - IDAHO below.

NPI Profile for
UNIVERSITY OF UTAH PEDIATRIC SERVICES

NPI Number
1235675364
Enumeration Date

(more than 9 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
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Doing Business As (dba): PEDIATRIC UROLOGY ASSOCIATES - IDAHO
Primary location
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone: (801) 662-5555 Fax:
Mailing address
PO BOX 841450
LOS ANGELES, CA 90084-1450
Phone: (801) 213-3900 Fax:
Organization Subpart
Yes - PEDIATRIC UROLOGY ASSOCIATES - IDAHO is subpart of another organization.
Authorized Official
SAMUEL FINLAYSON
CHIEF CLINICAL OFFICER
Phone: (801) 587-6336
Updated
Certification Date
Apr 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2088P0231X
- Urology / Pediatric Urology (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.