TREASURE VALLEY GASTROENTEROLOGY SPECIALISTS INC NPI 1194817023

NPI Information

NPI: 1194817023
Provider Name: TREASURE VALLEY GASTROENTEROLOGY SPECIALISTS INC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 13D2013219

Address:
222 W IOWA AVE
SUITE A
NAMPA, ID
ZIP 83686
Phone: (208) 467-3432
Get Directions

TREASURE VALLEY GASTROENTEROLOGY SPECIALISTS INC is a gastroenterology internal medicine in Nampa, ID. The provider is 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. TREASURE VALLEY GASTROENTEROLOGY SPECIALISTS INC NPI is 1194817023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

222 W IOWA AVE
SUITE A
NAMPA, ID
ZIP 83686-813
Phone: (208) 467-3432
Fax: (208) 467-4147

The provider's authorized official is Raquel Croitoru .
The authorized official title is Gastroenterologist and has the following contact phone number (208) 467-3432.

The CLIA number assigned to this NPI record is 13D2013219 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 2/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	M-5744	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1370032	MEDICARE UPIN
2	000010006187	OTHER	IDAHO	REGENCE BLUE SHIELD OF ID
3	84160	OTHER	IDAHO	BLUE CROSS OF IDAHO
4	002701100	MEDICAID	IDAHO
5	=========	OTHER	IDAHO	TAX I.D. NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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