BLUE LAKES GASTROENTEROLOGY, PLLC – NPI #1144267022
Internal Medicine
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.
BLUE LAKES GASTROENTEROLOGY, PLLC is a provider located in TWIN FALLS, ID. NPPES has assigned the NPI number 1144267022 to BLUE LAKES GASTROENTEROLOGY, PLLC on June 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology
The NPI profile was previously updated about 13 years ago on Mar 09, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE LAKES GASTROENTEROLOGY, PLLC below.
NPI Profile for
BLUE LAKES GASTROENTEROLOGY, PLLC
(more than 20 years ago)
SUITE 203
TWIN FALLS, ID 83301-5814 Phone: (208) 814-8300 Fax: (208) 733-8970
PHYSICIAN
Phone: (208) 814-8300
Identifiers for BLUE LAKES GASTROENTEROLOGY, PLLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | RR MEDICARE | ID | CJ6218 |
| MEDICAID | ID | 806237600 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RG0100X - Internal Medicine / Gastroenterology (Primary) |
ID | M6665 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.