1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Specialist
  6. NPI Profile

IDAHO PEDIATRIC GASTROENTEROLOGY PA
NPI 1780871467
Specialist in Boise, ID

Active since September 26, 2007
100 E IDAHO ST, SUITE 316, BOISE, ID 83712(208) 381-7310 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Pediatric Gastroenterology Pa NPPES

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

IDAHO PEDIATRIC GASTROENTEROLOGY PA (NPI 1780871467) is a healthcare organization registered as a specialist in Boise, Idaho and active in the NPI registry since September 2007. The organization lists Henry R Thompson, President, as its authorized official.

NPPES Registry Identity

NPI1780871467
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIDAHO PEDIATRIC GASTROENTEROLOGY PA
Location Address100 E IDAHO ST, SUITE 316Boise, ID 83712-6223
Mailing Address100 E Idaho St, Suite 316Boise, ID 83712-6223 · (208) 381-7310
Phone(208) 381-7310
Organization SubpartNo
Authorized OfficialHenry R ThompsonPresident · (208) 381-7310
Enumeration DateSeptember 26, 2007
✔ NPI 1780871467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M7673
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 E IDAHO ST, Boise, ID 83712
Open in Google Maps ↗

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.

DR. NATHAN D MEEKER M.D.
Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2782
MCKAY HERPEL PHARMD
Pharmacist (Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-3108
DR. FREDERICK K EMGE MD
Pediatrics (Pediatric Cardiology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Ada County (208) 381-7384
DAN S ZUCKERMAN MD
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
MISTY NEISEN
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
AMY MERCER RD
Dietitian, Registered
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-4011
DAVID B BETTIS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 E IDAHO ST, STE 201
BOISE, ID 83712
Ada County (208) 381-5180
VIVIANA BAEZA NUNEZ
Massage Therapist
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 706-5287

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 Idaho Pediatric Gastroenterology PA's NPI number?

The NPI number for Idaho Pediatric Gastroenterology PA is 1780871467. It was assigned to this organization in the NPPES registry on September 26, 2007.

Where is Idaho Pediatric Gastroenterology PA located?

Idaho Pediatric Gastroenterology PA is located at 100 E Idaho St Suite 316, Boise, ID 83712. The listed phone number is (208) 381-7310.

What is Idaho Pediatric Gastroenterology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Idaho Pediatric Gastroenterology PA was last updated on September 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.