DIGESTIVE HEALTH CLINIC LLC
NPI 1750498333
Internal Medicine - Gastroenterology in Boise, ID
NPI Status: Active since August 23, 2006
Contact Information
6259 W EMERALD ST
BOISE, ID
ZIP 83704
Phone: (208) 489-1900
Fax: (208) 375-5286
- Organization
- Internal Medicine
- Gastroenterology
- Accepts Insurance
- CLIA Number: 13D0521878
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 01-03-2027
About DIGESTIVE HEALTH CLINIC LLC
This page provides the complete NPI Profile along with additional information for Digestive Health Clinic Llc, an internist established in Boise, Idaho operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1750498333 assigned on August 2006. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 5 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 Mark A Mallory M.d. (Manager)
- NPI
- 1750498333
- Provider Name
- DIGESTIVE HEALTH CLINIC LLC
- 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?
- No
- Enumeration Date
- 08-23-2006
- Last Update Date
- 07-24-2020
- Code Navigator
An internist like Digestive Health Clinic Llc 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
- 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 MULTIPLE 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:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
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 |
|---|---|---|---|
| 807631700 | MEDICAID (05) | ID |
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
- 13D0521878
- Facility Type
- Independent
- Certificate Effective Date
- January 04, 2025
- Certificate Expiration Date
- January 03, 2027
- Laboratory Director
- SPENCER R. PAULSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Digestive Health Clinic Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 7 | 5 | 0 | 4 | 9 | 8 | 3 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 9 | 16 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 9 + 1 + 6 + 3 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1750498333 is valid because the calculated check digit 3 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 |
| 1023228558 | BOISE GASTROENTEROLOGY ASSOCIATES Organization | Clinic/Center (Ambulatory Surgical) | 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 |
| 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 1750498333, enumerated in the NPI registry as an "organization" on August 23, 2006
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 Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Moda Health Plan, Inc., Mountain Health CO-OP,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D0521878 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 23, 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].
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