Digestive Health Clinic LLC
NPI 1750498333ActiveOrganization· Internal Medicine, Gastroenterology· Boise, ID
Internal Medicine, Gastroenterology in Boise, Idaho, registered in NPPES in August 2006. The authorized official on file is Mark A. Mallory, M.D., Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750498333 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2006 |
| Last updated in NPPES | Jul 24, 2020 |
| Certified by provider | Jul 24, 2020 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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