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SOUTHEAST IDAHO GASTROENTEROLOGY,PLLC
NPI 1295754265
Internal Medicine - Gastroenterology in Pocatello, ID

Active since July 19, 2006
1151 HOSPITAL WAY BLDG A, POCATELLO, ID 83201(208) 232-6616(208) 232-6618 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Idaho Gastroenterology,pllc NPPES

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

SOUTHEAST IDAHO GASTROENTEROLOGY,PLLC (NPI 1295754265) is a healthcare organization registered as a gastroenterology in Pocatello, Idaho and active in the NPI registry since July 2006. The organization lists Darryl Bruce Cook, Member, as its authorized official.

NPPES Registry Identity

NPI1295754265
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSOUTHEAST IDAHO GASTROENTEROLOGY,PLLC
Location Address1151 HOSPITAL WAY BLDG APocatello, ID 83201-2763
Mailing AddressPo Box 4788Pocatello, ID 83205-4788 · (208) 232-6616 · Fax (208) 232-6618
Phone(208) 232-6616
Fax(208) 232-6618
Organization SubpartNo
Authorized OfficialDarryl Bruce CookMember · (208) 232-6616
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 25, 2012
✔ NPI 1295754265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
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.
1151 HOSPITAL WAY BLDG A, Pocatello, ID 83201
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Other Identifiers 2

Medicare ID-Type Unspecified1374896Medicare Number
Medicaid002803000ID

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 8

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

SHAD CARL JOHNSON PA-C
Physician Assistant (Medical)
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201
Bannock County (208) 232-6616
THOMAS VANCE DAVIS D.O.
Internal Medicine (Gastroenterology)
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201
Bannock County (208) 232-6616
MATTHEW GREGSON PA-C
Physician Assistant
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201
Bannock County (208) 232-6616
ENDOSCOPY CENTER, LLC
Clinic/Center (Endoscopy)
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201
Bannock County (208) 232-6616
PORTNEUF ASC, LLC
Clinic/Center (Ambulatory Surgical)
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201
Bannock County (208) 232-6616
DARRYL BRUCE COOK M.D.
Internal Medicine (Gastroenterology)
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201
Bannock County (208) 232-6616
DR. BRANDON SCOTT D.O.
Internal Medicine (Gastroenterology)
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201
Bannock County (208) 232-6616
CHARLES BARCLAY EVANS M.D.
Internal Medicine (Gastroenterology)
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201
Bannock County (208) 232-6616

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 Southeast Idaho Gastroenterology,pllc's NPI number?

The NPI number for Southeast Idaho Gastroenterology,pllc is 1295754265. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Southeast Idaho Gastroenterology,pllc located?

Southeast Idaho Gastroenterology,pllc is located at 1151 Hospital Way Bldg A, Pocatello, ID 83201. The listed phone number is (208) 232-6616.

What is Southeast Idaho Gastroenterology,pllc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Southeast Idaho Gastroenterology,pllc was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.