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LEWIS CLARK GASTROENTEROLOGY PLLC
NPI 1356330922
Internal Medicine - Gastroenterology in Lewiston, ID

Active since October 17, 2005
1630 23RD AVE, SUITE 701, LEWISTON, ID 83501(208) 298-3002(208) 298-7433 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lewis Clark Gastroenterology Pllc NPPES

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

LEWIS CLARK GASTROENTEROLOGY PLLC (NPI 1356330922) is a healthcare organization registered as a gastroenterology in Lewiston, Idaho and active in the NPI registry since October 2005. The organization lists Tamara Lynn Smith, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1356330922
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLEWIS CLARK GASTROENTEROLOGY PLLC
Location Address1630 23RD AVE, SUITE 701Lewiston, ID 83501-6350
Mailing Address1630 23rd Ave, Suite 701Lewiston, ID 83501-6350 · (208) 298-3002 · Fax (208) 298-7433
Phone(208) 298-3002
Fax(208) 298-7433
Organization SubpartNo
Authorized OfficialTamara Lynn SmithClinical Director · (208) 298-3002
Enumeration DateOctober 17, 2005
Last NPPES UpdateOctober 12, 2012
✔ NPI 1356330922 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.
1630 23RD AVE, Lewiston, ID 83501
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Other Identifiers 6

Medicaid806979100ID
Medicare PINDC7217
Medicare PINDD0649
Medicare PING8807787
Medicare PIN1377071
Medicare PINDC4935

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 14

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

DR. RICHARD MICHAEL ALLEN DPM
Podiatrist (Foot & Ankle Surgery)
1630 23RD AVE, SUITE 1001
LEWISTON, ID 83501
Nez Perce County (208) 743-3688
CYNTHIA HUDSON R.D.
Dietitian, Registered
1630 23RD AVE, SUITE 401
LEWISTON, ID 83501
Nez Perce County (208) 746-7784
DR. CORY ALLEN BROWN D.P.M.
Podiatrist (Foot & Ankle Surgery)
1630 23RD AVE, SUITE 1001
LEWISTON, ID 83501
Nez Perce County (208) 553-4780
SNAKE RIVER REHABILITATION COUNSELING SERVICES,LLC
Day Training, Developmentally Disabled Services
1630 23RD AVE, # 301B
LEWISTON, ID 83501
Nez Perce County (208) 743-5101
MR. STEVEN EDWIN OZERAN MD
Plastic Surgery
1630 23RD AVE, STE 901A
LEWISTON, ID 83501
Nez Perce County (208) 746-4479
FRANK E SHULL MED LCPC
Counselor (Professional)
1630 23RD AVE, BLDG 301
LEWISTON, ID 83501
Nez Perce County (208) 790-3083
LEWIS CLARK ENDOSCOPY, PLLC
Clinic/Center (Endoscopy)
1630 23RD AVE, SUITE 801
LEWISTON, ID 83501
Nez Perce County (208) 298-3002
SYRINGA SURGICAL CENTER
Clinic/Center (Ambulatory Surgical)
1630 23RD AVE, SUITE 901B
LEWISTON, ID 83501
Nez Perce County (208) 298-0103

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 Lewis Clark Gastroenterology PLLC's NPI number?

The NPI number for Lewis Clark Gastroenterology PLLC is 1356330922. It was assigned to this organization in the NPPES registry on October 17, 2005.

Where is Lewis Clark Gastroenterology PLLC located?

Lewis Clark Gastroenterology PLLC is located at 1630 23rd Ave Suite 701, Lewiston, ID 83501. The listed phone number is (208) 298-3002.

What is Lewis Clark 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 Lewis Clark Gastroenterology PLLC was last updated on October 12, 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.