NPI age
7 years
Enumerated 2019-01-26
● Active Type 2 · Organization
The Pediatric Place
The Pediatric Place 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
Collard
Pediatrician
Last NPPES update
2021-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 252 active pediatrics providers in Idaho.
NPI age
7 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1236 Bond Ave Ste B
Rexburg, ID 834403503
Mailing address
1236 Bond Ave Ste B
Rexburg, ID 834403503
Authorized official
Abram Collard, DO
Pediatrician
📞 2087010277
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Elias Lines, DO Pediatrics NPI 1629716717
- Dave Robinson, PA-C Physician Assistant NPI 1003257478
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 |
|---|---|---|
| 05 (ID) | 1801350590 |
Practice context
Multi-provider organization. 2 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.