Aeris Pediatrics, PLLC
Organization Active NPI Pediatrics Physician · Twin Falls, ID
NPI 1457077307 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1457077307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- AERIS PEDIATRICS, PLLC
- Practice address
- 706 N College Rd Ste C
Twin Falls, ID 83301-5824 - Phone
- (208) 391-5952
- Fax
- (877) 409-2920
- NPI assigned
- Oct 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Jared Hansen, MD
- Title
- Physician Owner
- Phone
- (208) 421-0033
Practitioners 2
-
Jared L Hansen, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2271594 | Aeris Pediatrics PLLC | Certificate of waiver | Nov 3, 2026 |
National Provider Directory
Locations
706 N College Rd
Ste C
Twin Falls, ID 83301
Phone (208) 391-5952
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCCJCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
706 N College Rd Ste C
Twin Falls, ID 83301-5824
Mailing address
706 N College Rd Ste C
Twin Falls, ID 83301-5824
Phone (208) 391-5952
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All providers in Twin Falls, ID · Pediatrics Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.