GEM STATE ENDOSCOPY NPI 1821459496

NPI Details

GEM STATE ENDOSCOPY is an ambulatory surgical clinic center in Lewiston, ID. GEM STATE ENDOSCOPY NPI is 1821459496. The provider is registered as an organization entity type.

The provider's business location address is:

3709 14TH STREET
LEWISTON, ID
ZIP 83501
Phone: (208) 743-4373
Fax: (208) 743-3369

The provider's authorized official is Katie Blevins .
The authorized official title is Administrator and has the following contact phone number (208) 298-2135.

The CLIA number assigned to this NPI record is 13D2115708 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)

The enumeration date for this NPI number is 3/10/2016 and was last updated on 8/9/2016.

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: