P Praxis·MD
● Active Type 2 · Organization

Idaho Falls Pediatrics

Pediatrics·Ammon, ID· NPI 1366560971 · Enumerated 2007 · 19 years on NPI
Idaho Falls Pediatrics is 1 of 13 pediatrics organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-26
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Porter
Owner
Last NPPES update
2024-12-05
Source: monthly bulk 2026-05

How this organization compares

Across 13 active pediatrics providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
3067 Eagle Dr
Ammon, ID 834061273
📞 2085224600fax 2085527521
Mailing address
3067 Eagle Dr
Ammon, ID 834061273
📞 2085224600fax 2085527521

Authorized official

Ron Wade Porter, MD
Owner
📞 2085224600

Individual providers at this organization

10 individual providers on file at this primary practice address.

Specialties

  • Pediatrics Primary
    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
    ID license #M7271 taxonomy 2080A0000X

Practice context

Multi-provider organization. 10 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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