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IDAHO ENDOSCOPY CENTER
NPI 1023228558
Clinic/Center - Ambulatory Surgical in Boise, ID

Active since May 23, 2007CLIA 13D2102495 · Waiver
6259 W EMERALD ST, BOISE, ID 83704(208) 489-1900(208) 375-5286 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Endoscopy Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO ENDOSCOPY CENTER (NPI 1023228558) is a healthcare organization registered as an ambulatory surgical in Boise, Idaho and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Robert F Gibson, Physician, as its authorized official.

NPPES Registry Identity

NPI1023228558
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBOISE GASTROENTEROLOGY ASSOCIATES
Location Address6259 W EMERALD STBoise, ID 83704-8731
Mailing Address6259 W Emerald StBoise, ID 83704-8731 · (208) 489-1900 · Fax (208) 375-5286
Phone(208) 489-1900
Fax(208) 375-5286
Organization SubpartYes
Authorized OfficialRobert F GibsonPhysician · (208) 489-1900
Enumeration DateMay 23, 2007
Last NPPES UpdateNovember 19, 2007
✔ NPI 1023228558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6259 W EMERALD ST, Boise, ID 83704
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Other Names 1

Doing Business AsIdaho Endoscopy Center

Other Identifiers 1

Medicare ID-Type Unspecified1870119ID · Group Medicare Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2102495

Idaho Endoscopy Center · Boise, ID
Active · expires Sep 23, 2027
CLIA Number13D2102495
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorMark A. Mallory
Laboratory Phone(208) 489-1900
Laboratory LocationIdaho Endoscopy Center6259 W Emerald St, Boise, ID 83703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NANCY JANE L'HEUREUX DNP
Nurse Practitioner (Family)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. CHRISTOPHER J GOULET M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
WENDI LEBRETT
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. STEPHEN M SCHUTZ M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. IKE D TANABE M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
BOISE GASTROENTEROLOGY ASSOCIATES
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. NIC R CORDUM M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. SPENCER RAYE PAULSON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boise Gastroenterology Associates's NPI number?

The NPI number for Boise Gastroenterology Associates is 1023228558. It was assigned to this organization in the NPPES registry on May 23, 2007. The provider is doing business as Idaho Endoscopy Center.

Where is Boise Gastroenterology Associates located?

Boise Gastroenterology Associates is located at 6259 W Emerald St, Boise, ID 83704. The listed phone number is (208) 489-1900.

What is Boise Gastroenterology Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Boise Gastroenterology Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2102495) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boise Gastroenterology Associates was last updated on November 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.