1. Home
  2. Directory
  3. Utah
  4. Logan
  5. Internal Medicine
  6. NPI Profile

NORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALISTS LLC
NPI 1629034855
Internal Medicine - Gastroenterology in Logan, UT

Active since April 25, 2006
630 E 1400 N, LOGAN, UT 84341(435) 787-0270(435) 787-0262 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Utah Gastroenterology And Endoscopy Specialists Llc NPPES

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

NORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALISTS LLC (NPI 1629034855) is a healthcare organization registered as a gastroenterology in Logan, Utah and active in the NPI registry since April 2006. The organization lists Dirk R. Davis, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1629034855
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameNORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALISTS LLC
Location Address630 E 1400 NLogan, UT 84341-2534
Mailing Address630 E 1400 NLogan, UT 84341-2534 · (435) 787-0270 · Fax (435) 787-0262
Phone(435) 787-0270
Fax(435) 787-0262
Organization SubpartNo
Authorized OfficialDirk R. DavisMedical Director · (435) 792-6105
Enumeration DateApril 25, 2006
Last NPPES UpdateFebruary 27, 2015
✔ NPI 1629034855 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.
630 E 1400 N, Logan, UT 84341
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified000055668UT
Medicare PIN005566801UT
Medicare PIN005566802UT
Medicare PIN005566803UT

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 5

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

SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC
Anesthesiology (Pain Medicine)
630 E 1400 N, SUITE 135
LOGAN, UT 84341
Cache County (435) 656-2424
DR. VERLE DUANE BOHMAN M.D.
Internal Medicine (Gastroenterology)
630 E 1400 N, SUITE 100B
LOGAN, UT 84341
Cache County (435) 787-0270
DR. BRIAN MAYNARD DNP, FNP-BC
Nurse Practitioner
630 E 1400 N
LOGAN, UT 84341
Cache County (435) 915-4465
NORTHERN UTAH ENDOSCOPY CENTER
Clinic/Center (Ambulatory Surgical)
630 E 1400 N, SUITE 100A
LOGAN, UT 84341
Cache County (435) 787-0270
DR. BRYAN R. LARSEN M.D.
Internal Medicine (Gastroenterology)
630 E 1400 N, SUITE 100B
LOGAN, UT 84341
Cache County (435) 787-0270

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 Northern Utah Gastroenterology And Endoscopy Specialists LLC's NPI number?

The NPI number for Northern Utah Gastroenterology And Endoscopy Specialists LLC is 1629034855. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Northern Utah Gastroenterology And Endoscopy Specialists LLC located?

Northern Utah Gastroenterology And Endoscopy Specialists LLC is located at 630 E 1400 N, Logan, UT 84341. The listed phone number is (435) 787-0270.

What is Northern Utah Gastroenterology And Endoscopy Specialists LLC'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 Northern Utah Gastroenterology And Endoscopy Specialists LLC was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.