FRONTIER PEDIATRIC PARTNERS, PLLC (NPI# 1780146316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780146316 |
| Entity Type | Organization |
| Organization Name | FRONTIER PEDIATRIC PARTNERS, PLLC |
| Practice Address |
1502 Locust Street N #700 Twin Falls ID 83301 |
| Mailing Address |
148 Blue Lakes Blvd N #363 Twin Falls ID 83301 |
| Practice Telephone | 2085955095 |
| Practice Fax Number | 2085955258 |
| Mailing Telephone | 2085955095 |
| Mailing Fax Number | 2085955258 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | DR. JARED LEE HANSEN (PHYSICIAN OWNER) |
| Authorized Official Telephone | 2085955095 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1502 LOCUST STREET N #700 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| 1447632948 | Jessica Mendez | Family Medicine | 730 N College Rd Ste A, Twin Falls, ID 83301 | 2015-06-22 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A 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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366836843 | Andrew Nolan Monson | Pediatrics | 775 Pole Line Rd W Ste 111, Twin Falls, ID 83301-5819 | 2015-03-23 |
| 1194042713 | Brian C Birch | Pediatrics | 755 Pole Line Road West, Suite 111, Twin Falls, ID 83301-0000 | 2010-04-21 |
| 1902241235 | Jared Rex Wortham | Pediatrics | 2550 Addison Ave E, #a, Twin Falls, ID 83301-6749 | 2013-04-30 |
| 1043654809 | Austin Kline | Pediatrics | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2013-04-24 |
| 1215195334 | Christopher Adam Eyre | Pediatrics | 1502 Locust St N Ste 700, Twin Falls, ID 83301-4164 | 2008-05-26 |
| 1245414028 | Physician Center A Professional Company Mid Level | Pediatrics | 775 Pole Line Rd W, Suite 105 & 111, Twin Falls, ID 83301-5814 | 2007-12-28 |
| 1114121993 | Jared L Hansen | Pediatrics | 1502 Locust St N Ste 700, Twin Falls, ID 83301-4164 | 2007-06-13 |
| 1790988509 | Jeffrey L Mulert | Pediatrics | 2550 Addison Ave E, Suite A, Twin Falls, ID 83301-6749 | 2007-06-08 |
| 1093895229 | Mitchell Jackson Moffitt | Pediatrics | 775 Pole Line Rd W, Suite 111, Twin Falls, ID 83301-5814 | 2006-10-16 |
| 1790718229 | St Luke's Clinic LLC | Pediatrics | 775 Pole Line Rd W, Twin Falls, ID 83301-5814 | 2006-07-08 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on FRONTIER PEDIATRIC PARTNERS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.