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NPI 1235675364
● Active Type 2 · Organization
Subpart
University Of Utah Pediatric Services
Urology · Idaho Falls, ID · NPI 1235675364
·
Enumerated 2017 · 9 years on NPI
University Of Utah Pediatric Services is 1 of 3 urology organizations in Idaho.
NPI age
9 years
Enumerated 2017-01-12
Primary specialty
Urology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Finlayson
Chief Clinical Officer
Last NPPES update
2022-04-13
Source: monthly bulk 2026-05
How this organization compares
Across 3 active urology providers in Idaho.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2017 → 2026
2017-01 Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2985 Cortez Ave
Idaho Falls, ID 834047554
📞 8016625555
Mailing address
Po Box 841450
Los Angeles, CA 900841450
📞 8012133900
Authorized official
Samuel Finlayson, MD
Chief Clinical Officer
📞 8015876336
Individual providers at this organization
15 individual providers on file at this primary practice address.
Laxmi Bhattari
Nurse Practitioner
NPI 1366327348
Douglas Blank , MD
Internal Medicine
NPI 1871598631
John Chambers , M.D.
Internal Medicine
NPI 1578568242
David Day
Physician Assistant
NPI 1073234068
George Garcia , MD
Internal Medicine
NPI 1548266315
Paul Gerlach , MD
Internal Medicine
NPI 1215025648
Patrick Gorman , MD
Internal Medicine
NPI 1295735769
Juliette Hollingshead , FNP-C
Nurse Practitioner
NPI 1720628308
Scott Huffaker , D.O,
Internal Medicine
NPI 1346462306
Dan Hunting , FNP-C
Nurse Practitioner
NPI 1336710862
Stephanie Leonardson , NP-C
Nurse Practitioner
NPI 1194128025
Justin Nielsen , PAC
Physician Assistant
NPI 1235443193
Rachel Petrus , NP-C
Nurse Practitioner
NPI 1255821260
Susan Wachter , M.D., PH.D.
Internal Medicine
NPI 1740450014
Kipp Webb , MD
Internal Medicine
NPI 1588992234
Specialties
Urology
Primary
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...
taxonomy 2088P0231X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Pediatric Urology Associates - Idaho
Type code 3
recorded 2019-12-14
Pediatric Urology Associates - Idaho
Type code 3
recorded 2017-01-12
Practice context
Multi-provider organization.
15 individual providers on file at this primary address.
Subpart of University Of Utah Pediatric Services .
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.