Individual provider · Type 1 NPI

Samuel L. Zuckerman, MD

Pediatric Critical Care Medicine Physician · Idaho Falls, ID

NPI number 1831156595 Active

Practice location

Mountain Neonatology Llc, 3100 Channing Way
Idaho Falls, ID 83404-7533

Mailing address

3100 Channing Way
Idaho Falls, ID 83404-7533

Other practice locations

  • 1400 S Coulter St, Amarillo, TX 79106-1786 · (806) 414-9800
  • 315 N San Saba Ste 1135, San Antonio, TX 78207-3255 · (210) 737-4928

Specialties and licenses

TaxonomyCodeLicense
Pediatric Anesthesiology Physician 207LP3000XJ9854 (TX)
Pediatric Critical Care Medicine Physician 2080P0203XJ9854 (TX)
Pediatric Critical Care Medicine Physician Primary 2080P0203XM-15488 (ID)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1831156595

Samuel L. Zuckerman, MD's National Provider Identifier is 1831156595, issued on Apr 27, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 10, 2020.