NPI age
20 years
Enumerated 2005-09-15
● Active Type 2 · Organization
Boise Endoscopy Center Llc
Boise Endoscopy Center Llc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lockwood
Authorized Official
Last NPPES update
2026-04-18
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
425 W Bannock St
Boise, ID 837026035
Mailing address
425 W Bannock St
Boise, ID 837026035
Authorized official
Robert Lockwood, MD
Authorized Official
📞 2083427169
Individual providers at this organization
18 individual providers on file at this primary practice address.
- Noel Anderson, PA-C Physician Assistant NPI 1881050540
- Paul Baehr, M.D. Internal Medicine NPI 1184619165
- Kirk Bigley, PA Physician Assistant NPI 1265887772
- Jeremy Gardner, APRN-CNP Nurse Practitioner NPI 1902539976
- Christopher Hammerle, MD Internal Medicine NPI 1740336361
- Regina Hanson, NP Nurse Practitioner NPI 1447582580
- Laura Hartwig, FNP-C Nurse Practitioner NPI 1023322856
- Ellen Hunter, M.D. Internal Medicine NPI 1174518740
- Philip Jensen, M.D. Internal Medicine NPI 1134114713
- Robert Lockwood, M.D. Internal Medicine NPI 1588954101
- Leah Muldoon, NP Nurse Practitioner NPI 1275145047
- Christine Paynter, PA C Physician Assistant NPI 1487697827
- Crystal Rose, FNP-C Nurse Practitioner NPI 1023821196
- Matthew Sericati, MD Internal Medicine NPI 1194871871
- Barry Shinsel Nurse Practitioner NPI 1144930801
- Cory Shuler, N.P. Nurse Practitioner NPI 1295177541
- Richard Uhlmann, M.D. Internal Medicine NPI 1083609663
- David Wood, M.D. Internal Medicine NPI 1659367993
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010005291 | BLUE SHIELD OF IDAHO |
| 01 (ID) | 04580 | BLUE CROSS OF IDAHO |
| 05 (ID) | 805944300 |
Practice context
Multi-provider organization. 18 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.