NPI age
19 years
Enumerated 2006-07-29
● Active Type 2 · Organization
Medical Center For Children & Adolescents, PA
Medical Center For Children & Adolescents, PA is 1 of 252 pediatrics organizations in Idaho.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pankau
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 252 active pediatrics providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3430 Washington Pkwy
Idaho Falls, ID 834047579
Mailing address
3430 Washington Pkwy
Idaho Falls, ID 834047579
Authorized official
Michael Jude Pankau, M.D.
President
📞 2085233060
Individual providers at this organization
12 individual providers on file at this primary practice address.
- Kelly Anderson, MD Pediatrics NPI 1194935049
- Jeffrey Aughney, D.O. Pediatrics NPI 1063703312
- Heather Bagley, N.P. Nurse Practitioner NPI 1720312523
- Brad Edwards, DO Pediatrics NPI 1093829657
- Marianne Galbraith, PA-C Physician Assistant NPI 1235497017
- Bradford Hatch, MD Pediatrics NPI 1265546915
- Karie Josten, PA-C Physician Assistant NPI 1801106075
- Michael Pankau, MD Pediatrics NPI 1558475111
- Colby Pearson, DO Pediatrics NPI 1790286318
- Robert Pettit, MD Pediatrics NPI 1518071174
- Erika Swope, FNP-C Nurse Practitioner NPI 1679021778
- Jill Veber, MD Pediatrics NPI 1235243973
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010006561 | BLUE SHIELD |
| 01 (ID) | 85456 | BLUE CROSS |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Pediatric Center
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.