Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Idaho Pediatric Gastroenterology PA

Organization Specialist · NPI 1780871467

Idaho Pediatric Gastroenterology PA provides Specialist services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Idaho St Ste 316
Boise, ID 83712-6223 Not confirmed with CMS for 19 years — call before visiting
Phone: (208) 381-7310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M7673 (ID)

Record details

NPI number1780871467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Thompson — President · (208) 381-7310
NPI enumeratedSeptember 26, 2007
Last updated in NPPESSeptember 26, 2007
Mailing address100 E Idaho St, Suite 316, Boise, ID 83712-6223

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