CAROL KLETT VANCE


Address: 1619 Curlew Dr Ste 6, Ammon, ID 83406-4719
Phone: 2085234688

CAROL KLETT VANCE (NPI# 1417012022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417012022
Entity Type Individual
Full Name CAROL KLETT VANCE
Credential M.D.
Practice Address 1619 Curlew Dr Ste 6
Ammon
ID 83406-4719
Practice Telephone 2085234688
Practice Fax Number 2085234990
Mailing Telephone 2085234688
Mailing Fax Number 2085234990
Enumeration Date 2006-12-26
Last Update Date 2008-03-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
M9751 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID REGENCE BLUESHIELD 000010158422 01
ID BCBS B6254 01

Office Location

Street Address 1619 CURLEW DR STE 6
City AMMON
State ID
Zip Code 83406-4719

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598383929 Cristina Leon, Do Pa Pediatrics Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 2020-07-13
1144783499 Mountain States Diabetes Relief, LLC Internal Medicine 4573 E Majestic, Idaho Falls, ID 83406 2019-04-12
1447718853 Root Cause Integrative Medicine LLC Family Medicine 1547 S Midway Ave, Suite B, Ammon, ID 83406 2019-03-05
1225379183 Sterling Hospital LLC General Acute Care Hospital 5412 S. Rock House Cir, Idaho Falls, ID 83406 2013-03-01
1710236823 Flower D. Aston Dietitian, Registered 300 Bridger Drive, Ammon, ID 83406 2012-09-05
1558658468 Nathan Myers Pharmacist 1901 South 2500 East, Idaho Falls, ID 83406 2011-06-30
1760719934 Snf Ammon Operating Company LLC. Skilled Nursing Facility 3909 South 25th East, Ammon, ID 83406 2009-11-10
1316192370 A Childs Smile Dentist 3299 E. 17th Street, Ammon, ID 83406 2008-11-18
1992968804 Brandon D Gordon Dentist 7186 Sage View Cr, Idaho Falls, ID 83406 2008-07-10
1891996526 Help, Inc. Community/Behavioral Health 1465 Hoopes Ave, Idaho Falls, ID 83406 2007-05-30
Find all providers in zip 83406

Taxonomy Information

Taxonomy Code 2080P0008X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neurodevelopmental Disabilities

Taxonomy Definition

A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346410321 Carol Klett Vance Md, Inc. Pediatrics 1619 Curlew Dr, Suite 6, Ammon, ID 83406-4719 2008-03-06

Competitor

Search similar providers

City AMMON
Zip Code 83406

Improve Information

Please comment or provide details below to improve the information on CAROL KLETT VANCE.

Dataset Information

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.

Trending Searches