Active NPI
Boise Gastroenterology Associates
- Gastroenterology Physician
- Boise, ID
National Provider Identifier
1205046737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- BOISE GASTROENTEROLOGY ASSOCIATES
- Practice address
- 6259 W Emerald St
Boise, ID 83704-8731 - Phone
- (208) 489-1900
- Fax
- (208) 375-5286
- NPI assigned
- May 23, 2007
- Organization subpart
- Yes
- Parent organization
- BOISE GASTROENTEROLOGY ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert F Gibson, M.D.
- Title
- Physician
- Phone
- (208) 489-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
6259 W Emerald St
Boise, ID 83704-8731
Mailing address
6259 W Emerald St
Boise, ID 83704-8731
Phone (208) 489-1900
National Provider Directory
National Provider Directory- Part of
- Cigna Finance
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1205046737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6259 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048731",
"telephone_number": "208-489-1900",
"fax_number": "208-375-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6259 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048731",
"telephone_number": "208-489-1900",
"fax_number": "208-375-5286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOISE GASTROENTEROLOGY ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BOISE GASTROENTEROLOGY ASSOCIATES",
"enumeration_date": "2007-05-23",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "208-489-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.