IDAHO ENDOSCOPY CENTER LLC (NPI# 1043835713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043835713 |
| Entity Type | Organization |
| Organization Name | IDAHO ENDOSCOPY CENTER LLC |
| Other Organization Name | NAMPA IDAHO ENDOSCOPY CENTER |
| Practice Address |
5080 E Commerce St Nampa ID 83687-5513 |
| Mailing Address |
6259 W Emerald St Boise ID 83704-8731 |
| Practice Telephone | 9868671600 |
| Practice Fax Number | 9868671601 |
| Mailing Telephone | 2084891900 |
| Mailing Fax Number | 2084891929 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | MARK A MALLORY (MANAGER) |
| Authorized Official Telephone | 2084891900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | IDAHO ENDOSCOPY CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Nampa Idaho Endoscopy Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750616249 | Idaho Endoscopy Center LLC | Clinic/Center | 6259 W Emerald St, Boise, ID 83704-8731 | 2009-10-16 |
| Street Address |
5080 E COMMERCE ST |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310561 | Digestive Health Clinic LLC | Internal Medicine | 5080 E Commerce St, Nampa, ID 83687-5513 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972861375 | Treasure Valley Surgery Center Nampa Lp | Clinic/Center | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2012-04-24 |
| 1316995905 | Mercy Outpatient Surgery Center | Clinic/Center | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1467097725 | Center for Surgery Pllc | Clinic/Center | 3369 Merlin Dr Ste A, Idaho Falls, ID 83404-7405 | 2019-11-11 |
| 1831636752 | River View Surgery Center, LLC | Clinic/Center | 1502 Locust St N Ste 100, Twin Falls, ID 83301-4163 | 2017-01-30 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1558733147 | River City Surgical Center | Clinic/Center | 10118 W Overland Rd, Boise, ID 83709-1428 | 2015-10-22 |
| 1821420571 | Upper Valley Surgery Center | Clinic/Center | 256 N 200 E, Rexburg, ID 83440-2048 | 2013-08-05 |
| 1669720397 | Pleasant View Surgery Center, LLC | Clinic/Center | 4171 West Expo Parkway, Post Falls, ID 83854 | 2012-08-28 |
| 1851552483 | Skyline Surgery Center, LLC | Clinic/Center | 285 Vista Dr, Ste C, Pocatello, ID 83201 | 2008-06-17 |
| 1255500427 | Les Bois Surgery Center, LLP | Clinic/Center | 8950 W Emerald St Ste 164, Boise, ID 83704-8296 | 2008-02-21 |
| 1740479476 | Meadow Lake Surgery Center Inc | Clinic/Center | 3630 E Louise Dr, Suite 200, Meridian, ID 83642-7975 | 2007-10-18 |
| Find all providers with the same taxonomy | ||||
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| 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.