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GEM STATE ENT, PLLC
NPI 1215715669
General Practice in Twin Falls, ID

Active since September 18, 2023
2102 CANYON PLAZA DR, TWIN FALLS, ID 83301(208) 352-7555(208) 352-7333 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gem State Ent, Pllc NPPES

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

GEM STATE ENT, PLLC (NPI 1215715669) is a healthcare organization registered as a general practice in Twin Falls, Idaho and active in the NPI registry since September 2023. The organization maintains 2 additional practice locations and lists Brooke Freidenberger, Medical Coder, as its authorized official.

NPPES Registry Identity

NPI1215715669
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGEM STATE ENT, PLLC
Location Address2102 CANYON PLAZA DRTwin Falls, ID 83301-4513
Mailing Address2114 Village Park Ave # 200Twin Falls, ID 83301-4172 · (208) 804-1717 · Fax (208) 804-1707
Phone(208) 352-7555
Fax(208) 352-7333
Organization SubpartNo
Authorized OfficialBrooke FreidenbergerMedical Coder · (208) 858-6008
Enumeration DateSeptember 18, 2023
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1215715669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2102 CANYON PLAZA DR, Twin Falls, ID 83301
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Secondary Practice Locations 2

Location 1314 S River StHailey, ID 83333-8851 · Phone (208) 352-7555 · Fax (208) 352-7333
Location 21501 Hiland Ave Ste MBurley, ID 83318-2688 · Phone (208) 352-7555 · Fax (208) 352-7333

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

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 Gem State Ent, PLLC's NPI number?

The NPI number for Gem State Ent, PLLC is 1215715669. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Gem State Ent, PLLC located?

Gem State Ent, PLLC is located at 2102 Canyon Plaza Dr, Twin Falls, ID 83301. The listed phone number is (208) 352-7555.

What is Gem State Ent, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Gem State Ent, PLLC was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.