GRAND TETON GASTROENTEROLOGY, PA – NPI #1154390938
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.
GRAND TETON GASTROENTEROLOGY, PA is a provider located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1154390938 to GRAND TETON GASTROENTEROLOGY, PA on March 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is DIGESTIVE HEALTH CENTER. 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 16 years ago on Jun 07, 2010. 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 GRAND TETON GASTROENTEROLOGY, PA below.
NPI Profile for
GRAND TETON GASTROENTEROLOGY, PA
(more than 20 years ago)
IDAHO FALLS, ID 83404-7590 Phone: (208) 522-4000 Fax: (208) 528-4242
BILLING SUPERVISOR
Phone: (208) 528-4255
Identifiers for GRAND TETON GASTROENTEROLOGY, PA
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 |
|---|---|---|---|
| MEDICAID | ID | 002708500 |
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) |
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.