BLUE LAKES GASTROENTEROLOGY, PLLC
NPI 1144267022
Internal Medicine - Gastroenterology in Twin Falls, ID
NPI Status: Active since June 01, 2006
Contact Information
775 POLE LINE RD W
SUITE 203
TWIN FALLS, ID
ZIP 83301
Phone: (208) 814-8300
Fax: (208) 733-8970
- Organization
- Internal Medicine
- Gastroenterology
About BLUE LAKES GASTROENTEROLOGY, PLLC
This page provides the complete NPI Profile along with additional information for Blue Lakes Gastroenterology, Pllc, an internist established in Twin Falls, Idaho operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1144267022 assigned on June 2006. The practitioner's primary taxonomy code is 207RG0100X with license number M6665 (ID). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Robert Ward M.d. (Physician)
- NPI
- 1144267022
- Provider Name
- BLUE LAKES GASTROENTEROLOGY, PLLC
- Entity Type
- Organization
- Location Address
- 775 POLE LINE RD W SUITE 203 TWIN FALLS, ID 83301
- Location Phone
- (208) 814-8300
- Location Fax
- (208) 733-8970
- Mailing Address
- 775 POLE LINE RD W SUITE 203 TWIN FALLS, ID 83301
- Mailing Phone
- (208) 814-8300
- Mailing Fax
- (208) 733-8970
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2006
- Last Update Date
- 03-09-2013
- Code Navigator
An internist like Blue Lakes Gastroenterology, Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M6665
- License State
- ID
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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 |
|---|---|---|---|
| CJ6218 | OTHER (01) | ID | RR MEDICARE |
| 1370041 | MEDICARE PIN (08) | ID | |
| 4477100001 | MEDICARE NSC (07) | ID | |
| 806237600 | MEDICAID (05) | ID |
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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 | 1 | 4 | 4 | 2 | 6 | 7 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 4 | 6 | 14 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 4 + 6 + 1 + 4 + 0 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1144267022 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1215971593 | DANIEL G PREUCIL M.D. Individual | Family Medicine | 775 POLE LINE RD W SUITE 105 TWIN FALLS, ID 83301 (208) 814-8000 |
| 1619904638 | DOUGLAS L STAGG M.D. Individual | Preventive Medicine (Occupational Medicine) | 775 POLE LINE RD W SUITE 101 TWIN FALLS, ID 83301 (208) 814-8100 |
| 1619909280 | DENNIS R SAWYER P.A.-C Individual | Physician Assistant | 775 POLE LINE RD W SUITE 112 TWIN FALLS, ID 83301 (208) 814-8200 |
| 1114947389 | DR. RONALD WILLIAM BLAIR D.O. Individual | Surgery | 775 POLE LINE RD W SUITE 212 TWIN FALLS, ID 83301 (208) 814-8400 |
| 1285742452 | HEATHER MERTEN KOHRING FNP-C Individual | Nurse Practitioner | 775 POLE LINE RD W SUITE 203 TWIN FALLS, ID 83301 (208) 814-8300 |
| 1467499418 | DAVID JOHNSON, M.D., P. A. Organization | Surgery (Vascular Surgery) | 775 POLE LINE RD W SUITE 213 TWIN FALLS, ID 83301 (208) 814-8475 |
| 1407894041 | BRUCE C MCCOMAS, M. D., P. A. Organization | Surgery | 775 POLE LINE RD W SUITE 212 TWIN FALLS, ID 83301 (208) 814-8400 |
| 1538108394 | ARTHRITIS CENTER OF IDAHO,PA Organization | Internal Medicine (Rheumatology) | 775 POLE LINE RD W SUITE 115 TWIN FALLS, ID 83301 (208) 814-8150 |
| 1508807926 | PHYSICIAN CENTER , A PROFESSIONAL COMPANY Organization | Family Medicine | 775 POLE LINE RD W SUITES 105 & 111 TWIN FALLS, ID 83301 (208) 814-8000 |
| 1821299553 | BLUE LAKES GASTROENTEROLOGY PLLC Organization | Nurse Practitioner | 775 POLE LINE RD W SUITE 203 TWIN FALLS, ID 83301 (208) 814-8300 |
| 1245414028 | PHYSICIAN CENTER A PROFESSIONAL COMPANY MID LEVEL Organization | Family Medicine | 775 POLE LINE RD W SUITE 105 & 111 TWIN FALLS, ID 83301 (208) 814-8000 |
| 1861549396 | GRETCHEN G BASEN PA-C Individual | Physician Assistant | 775 POLE LINE RD W SUITE 115 TWIN FALLS, ID 83301 (208) 814-8150 |
| 1942601232 | MRS. BRENDA O'NEIL DPT Individual | Physical Therapist | 775 POLE LINE RD W SUITE 307 TWIN FALLS, ID 83301 (208) 814-2495 |
| 1124061262 | JOHN A BAKER M.D. Individual | Internal Medicine | 775 POLE LINE RD W SUITE 302 TWIN FALLS, ID 83301 (208) 814-8600 |
| 1346213303 | DARYL G FICKLIN DO Individual | Internal Medicine | 775 POLE LINE RD W SUITE 302 TWIN FALLS, ID 83301 (208) 814-8600 |
| 1548222516 | SETH N WHEELER MD Individual | Internal Medicine (Gastroenterology) | 775 POLE LINE RD W SUITE 203 TWIN FALLS, ID 83301 (208) 814-8300 |
| 1649226127 | DR. DENNIS M ENOMOTO MD Individual | Internal Medicine (Cardiovascular Disease) | 775 POLE LINE RD W SUITE 112 TWIN FALLS, ID 83301 (208) 814-8200 |
| 1407896855 | DAVID A MCCLUSKY M.D. Individual | Surgery | 775 POLE LINE RD W SUITE 214 TWIN FALLS, ID 83301 (208) 814-8425 |
| 1821038282 | PATRICK P DESMOND M.D. Individual | Internal Medicine | 775 POLE LINE RD W SUITE 312 TWIN FALLS, ID 83301 (208) 814-8600 |
| 1649213729 | JOHN F TROTTER M.D. Individual | Pediatrics | 775 POLE LINE RD W SUITE 111 TWIN FALLS, ID 83301 (208) 814-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144267022, enumerated in the NPI registry as an "organization" on June 01, 2006
The provider is located at 775 Pole Line Rd W Suite 203 Twin Falls, Id 83301 and the phone number is (208) 814-8300
This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 01, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.