Clearwater Gastroenterology
NPI 1518205715ActiveOrganization· Specialist· Lewiston, ID
Specialist in Lewiston, Idaho, registered in NPPES in January 2013. The authorized official on file is Carl Ray Dettwiler, M.D., M.D. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1518205715 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2013 |
| Last updated in NPPES | Jan 22, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | M5110 | ID |
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) | Enrolled Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (WA) |
|---|
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