NPI age
5 years
Enumerated 2020-06-09
● Active Type 2 · Organization
Subpart
Digestive Health Clinic Llc
Digestive Health Clinic Llc is 1 of 111 internal medicine organizations in Idaho.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mallory
Manager
Last NPPES update
2020-06-19
Source: monthly bulk 2026-05
How this organization compares
Across 111 active internal medicine providers in Idaho.
NPI age
5 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-06Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
5080 E Commerce St
Nampa, ID 836875513
Mailing address
6259 W Emerald St
Boise, ID 837048731
Authorized official
Mark A Mallory, MD
Manager
📞 2084891900
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Riley Anderson, PA-C Physician Assistant NPI 1790677375
- Troy Carr Nurse Practitioner NPI 1275250102
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Nampa Digestive Health Clinic
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Digestive Health Clinic Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.