IDAHO ENDOSCOPY CENTER
NPI 1023228558
Clinic/Center - Ambulatory Surgical in Boise, ID
NPI Status: Active since May 23, 2007
Contact Information
6259 W EMERALD ST
BOISE, ID
ZIP 83704
Phone: (208) 489-1900
Fax: (208) 375-5286
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 13D2102495
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-23-2025
About IDAHO ENDOSCOPY CENTER
This page provides the complete NPI Profile along with additional information for Idaho Endoscopy Center, a provider established in Boise, Idaho operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1023228558 assigned on May 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Idaho Endoscopy Center. The authorized official of this NPI record is Dr. Robert F Gibson M.d. (Physician)
- NPI
- 1023228558
- Provider Legal Name
- BOISE GASTROENTEROLOGY ASSOCIATES
- Other Organization Name
- IDAHO ENDOSCOPY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6259 W EMERALD ST BOISE, ID 83704
- Location Phone
- (208) 489-1900
- Location Fax
- (208) 375-5286
- Mailing Address
- 6259 W EMERALD ST BOISE, ID 83704
- Mailing Phone
- (208) 489-1900
- Mailing Fax
- (208) 375-5286
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-23-2007
- Last Update Date
- 11-19-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1870119 | MEDICARE ID-TYPE UNSPECIFIED (04) | ID | GROUP MEDICARE NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2102495
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 24, 2023
- Certificate Expiration Date
- September 23, 2025
- Laboratory Director
- MARK A. MALLORY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Idaho Endoscopy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for IDAHO ENDOSCOPY CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 2 | 2 | 8 | 5 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 4 | 2 | 16 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 4 + 2 + 1 + 6 + 5 + 1 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1023228558 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114994977 | DR. STEPHEN M SCHUTZ M.D. Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1184691602 | DR. IKE D TANABE M.D. Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1336116888 | DR. MARK A MALLORY M.D. Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1205803756 | DR. NIC R CORDUM M.D. Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1275500738 | DR. SAMUEL S GIBSON M.D. Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1023085180 | DR. CHRISTOPHER J GOULET M.D. Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1538128707 | DR. ROBB F GIBSON M.D. Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1972562726 | MRS. TRACY M YOUNG FNP Individual | Nurse Practitioner (Family) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1205046737 | BOISE GASTROENTEROLOGY ASSOCIATES Organization | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1326238981 | ASHLEY EVANS MD Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1518120179 | DR. MEGHAN JANKOWSKI Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1730182205 | JUNE REILING CNP Individual | Nurse Practitioner (Family) | 6259 W EMERALD ST SUITE 1 BOISE, ID 83704 (208) 489-1900 |
| 1003282708 | DR. NANCY JANE L'HEUREUX DNP Individual | Nurse Practitioner (Family) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1750498333 | DIGESTIVE HEALTH CLINIC LLC Organization | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1750616249 | IDAHO ENDOSCOPY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1548671092 | REBECCA OSTERKAMP MD Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1487060117 | DR. EDWARD JAMES KRAJICEK M.D. Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1700867199 | JOSEPH A COOK MD Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1821150285 | SHAUNA WILLIAMS M.D. Individual | Colon & Rectal Surgery | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
| 1316263601 | LAUREN MYER SHEA MD Individual | Internal Medicine (Gastroenterology) | 6259 W EMERALD ST BOISE, ID 83704 (208) 489-1900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023228558, enumerated in the NPI registry as an "organization" on May 23, 2007
The provider is located at 6259 W Emerald St Boise, Id 83704 and the phone number is (208) 489-1900
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D2102495 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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