LEWIS CLARK ENDOSCOPY, PLLC (NPI# 1437148004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437148004 |
| Entity Type | Organization |
| Organization Name | LEWIS CLARK ENDOSCOPY, PLLC |
| Practice Address |
1630 23rd Ave Suite 801 Lewiston ID 83501-6345 |
| Practice Telephone | 2082983002 |
| Practice Fax Number | 2087433369 |
| Mailing Telephone | 2082983002 |
| Mailing Fax Number | 2087433369 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2012-03-22 |
| Authorized Official Name | TAMARA LYNN SMITH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2082983002 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807105900 | 05 |
| Street Address |
1630 23RD AVE SUITE 801 |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-6345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717787 | Richard Michael Allen | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2005-08-11 |
| 1700221363 | Marion Elizabeth Smith | Nurse Practitioner | 1630 23rd Ave, Lewiston, ID 83501-6350 | 2013-05-08 |
| 1154662948 | Cory Allen Brown | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2013-03-05 |
| 1124250527 | Cynthia Hudson | Dietitian, Registered | 1630 23rd Ave, Suite 401, Lewiston, ID 83501-6350 | 2009-08-18 |
| 1700073798 | Amber Christine Mckinney | Physician Assistant | 1630 23rd Ave, Suite 701, Lewiston, ID 83501-6350 | 2007-10-03 |
| 1881881118 | Steven E Ozeran, M.d., P.a. | Surgery | 1630 23rd Ave, Suite 901a, Lewiston, ID 83501-6350 | 2007-10-01 |
| 1194926790 | Snake River Rehabilitation Counseling Services,llc | Day Training, Developmentally Disabled Services | 1630 23rd Ave, # 301b, Lewiston, ID 83501-6350 | 2007-05-30 |
| 1750396636 | Bridgeway Counseling Center, Lc | Social Worker | 1630 23rd Ave, Suite 301b, Lewiston, ID 83501-6350 | 2006-07-30 |
| 1588610398 | Walla Walla Vamc | Clinic/Center | 1630 23rd Ave, Stes. 302 & 401, Bldg. 2, Lewiston, ID 83501-6350 | 2006-05-25 |
| 1316911571 | Steven Edwin Ozeran | Surgery | 1630 23rd Ave, Ste 901a, Lewiston, ID 83501 | 2006-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669410361 | Snake River Gastroenterology Labs, L.L.C. | Clinic/Center | 141 Morrison St, Twin Falls, ID 83301-5451 | 2006-06-03 |
| 1770502767 | Endoscopy Center, LLC | Clinic/Center | 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 | 2006-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.