BLUE LAKES GASTROENTEROLOGY, PLLC
NPI 1144267022
Internal Medicine - Gastroenterology in Twin Falls, ID

Active since June 01, 2006
775 POLE LINE RD W, SUITE 203, TWIN FALLS, ID 83301(208) 814-8300(208) 733-8970 Get Directions Write a Review

NPPES record last updated: March 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blue Lakes Gastroenterology, Pllc NPPES

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

BLUE LAKES GASTROENTEROLOGY, PLLC (NPI 1144267022) is a healthcare organization registered as a gastroenterology in Twin Falls, Idaho and active in the NPI registry since June 2006. The organization lists Robert Ward, Physician, as its authorized official.

NPPES Registry Identity

NPI1144267022
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBLUE LAKES GASTROENTEROLOGY, PLLC
Location Address775 POLE LINE RD W, SUITE 203Twin Falls, ID 83301-5814
Mailing Address775 Pole Line Rd W, Suite 203Twin Falls, ID 83301-5814 · (208) 814-8300 · Fax (208) 733-8970
Fax(208) 733-8970
Organization SubpartNo
Authorized OfficialRobert WardPhysician · (208) 814-8300
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 9, 2013
NPI 1144267022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in ID · M6665
Definition

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.

775 POLE LINE RD W, Twin Falls, ID 83301

Other Identifiers 4

OtherCJ6218ID · Rr Medicare
Medicare PIN1370041ID
Medicare NSC4477100001ID
Medicaid806237600ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Family Medicine
775 POLE LINE RD W, SUITE 105
TWIN FALLS, ID 83301
Preventive Medicine (Occupational Medicine)
775 POLE LINE RD W, SUITE 101
TWIN FALLS, ID 83301
Physician Assistant
775 POLE LINE RD W, SUITE 112
TWIN FALLS, ID 83301
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Nurse Practitioner
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Surgery (Vascular Surgery)
775 POLE LINE RD W, SUITE 213
TWIN FALLS, ID 83301
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Internal Medicine (Rheumatology)
775 POLE LINE RD W, SUITE 115
TWIN FALLS, ID 83301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144267022, enumerated as an "organization" on June 01, 2006.

The provider is located at 775 POLE LINE RD W SUITE 203 TWIN FALLS, ID 83301 and the phone number is (208) 814-8300.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.