Southeast Idaho Gastroenterology,pllc
NPI 1295754265ActiveOrganization· Internal Medicine, Gastroenterology· Pocatello, ID
Internal Medicine, Gastroenterology in Pocatello, Idaho, registered in NPPES in July 2006. The authorized official on file is Darryl Bruce Cook, M.D., Member.
Overview
| NPI | 1295754265 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2006 |
| Last updated in NPPES | Sep 25, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Internal Medicine, Gastroenterology providers in Pocatello
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