NPI age
20 years
Enumerated 2005-10-17
● Active Type 2 · Organization
Lewis Clark Endoscopy, Pllc
Lewis Clark Endoscopy, Pllc is 1 of 3 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Clinical Director
Last NPPES update
2012-03-22
Source: monthly bulk 2026-05
How this organization compares
Across 3 active clinic/center providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1630 23rd Ave, Suite 801
Lewiston, ID 835016345
Mailing address
1630 23rd Ave, Suite 801
Lewiston, ID 835016345
Authorized official
Tamara Lynn Smith, RN
Clinical Director
📞 2082983002
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Richard Allen, DPM Podiatrist NPI 1093717787
- Cory Brown, D.P.M. Podiatrist NPI 1154662948
- Cynthia Hudson, R.D. Dietitian, Registered NPI 1124250527
- Amber McKinney, PA-C Physician Assistant NPI 1700073798
- Steven Ozeran, MD Plastic Surgery NPI 1316911571
- Michael Parent, MD Specialist NPI 1578552139
- Frank Shull, MED LCPC Counselor NPI 1336138106
- Marion Smith, ARNP Nurse Practitioner NPI 1700221363
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807105900 |
Practice context
Multi-provider organization. 8 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.