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ENNIS ENDOCRINOLOGY PLLC NPI 1902143134


NPI Information

NPI: 1902143134
Provider Name: ENNIS ENDOCRINOLOGY, PLLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 13D2082228

Address:
2450 E GALA ST STE 100
MERIDIAN, ID
ZIP 83642
Phone: (208) 994-8180
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ENNIS ENDOCRINOLOGY, PLLC is an endocrinology and diabetes and metabolism internal medicine in Meridian, ID. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ENNIS ENDOCRINOLOGY, PLLC NPI is 1902143134. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2450 E GALA ST STE 100
MERIDIAN, ID
ZIP 83642-805
Phone: (208) 994-8180
Fax: (208) 908-4542

The provider's authorized official is Robert Frank Ennis .
The authorized official title is Physician and has the following contact phone number (208) 994-8180.

The CLIA number assigned to this NPI record is 13D2082228 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2013 and was last updated on 4/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismM-11309IDAHOYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.