NPI age
20 years
Enumerated 2005-09-15
● Active Type 2 · Organization
Subpart
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
Pahssen
Credentialing Manager
Last NPPES update
2022-12-08
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
2235 E Gala St
Meridian, ID 836427090
Mailing address
425 W Bannock St
Boise, ID 837026035
Authorized official
Rebecca Pahssen
Credentialing Manager
📞 2084891431
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Tish Davis, PA-C Physician Assistant NPI 1548201007
- Mark Dell'Aglio, MD Internal Medicine NPI 1477656460
- Akshay Gupta, M.D. Internal Medicine NPI 1255542338
- Matthew Hella, NP Nurse Practitioner NPI 1851736524
- Jennifer Leonard, NP-C Nurse Practitioner NPI 1649538463
- Mark Lloyd, M.D. Internal Medicine NPI 1730174301
- Brian Story, MD Internal Medicine NPI 1851551089
- John Witte, M.D. Internal Medicine NPI 1063407641
- Judith Woods, M.D. Internal Medicine NPI 1518952175
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
dba Meridian Endoscopy Center
-
dba Meridian Endoscopy Center
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
Subpart of Boise Endoscopy Center, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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