Idaho Gastroenterology Associates, LLP

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

IDAHO GASTROENTEROLOGY ASSOCIATES, LLP

Practice address

425 W Bannock St
Boise, ID 83702-6035

Phone

(208) 343-1702

Fax

(208) 342-7042

NPI assigned

Sep 15, 2005

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eddy McLane

Title

Director of Finance

Phone

(208) 343-6458

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID, PA, CA, IN, KY, IL6 enrollments

Enrollment records 6

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Idaho Anesthesia Partners LLC

  • Certified Registered Nurse Anesthetist
  • Meridian, ID
  • NPI 1174468011

  Member Of

  NPD member

Locations

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirk Bigley, PA

  • Physician Assistant
  • Boise, ID
  • NPI 1265887772
  Medicare reassignment Care Compare group NPD
• John B Dever, MD

  • Gastroenterology Physician
  • Meridian, ID
  • NPI 1093918724
  Medicare reassignment Care Compare group NPD
• Akshay Gupta, M.D.

  • Gastroenterology Physician
  • Meridian, ID
  • NPI 1255542338
  Medicare reassignment Care Compare group NPD
• Christopher W Hammerle, MD

  • Gastroenterology Physician
  • Boise, ID
  • NPI 1740336361
  Medicare reassignment Care Compare group NPD
• Laura Lela Hartwig, FNP-C

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1023322856
  Medicare reassignment Care Compare group NPD
• Victoria Jaeger, DO

  • Gastroenterology Physician
  • Nampa, ID
  • NPI 1770938318
  Medicare reassignment Care Compare group NPD
• Elsbeth Chiyo Jensen-Otsu, MD

  • Gastroenterology Physician
  • Boise, ID
  • NPI 1366731259
  Medicare reassignment Care Compare group NPD
• Jennifer Brown Leonard, NP-C

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1649538463

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Robert Alanson Lockwood, M.D.

  • Gastroenterology Physician
  • Boise, ID
  • NPI 1588954101
  Medicare reassignment Care Compare group NPD
• Erin M McCoy, M.D.

  • Gastroenterology Physician
  • Nampa, ID
  • NPI 1700010873
  Medicare reassignment Care Compare group NPD
• Kirsten J Morigeau, MD

  • Gastroenterology Physician
  • Nampa, ID
  • NPI 1811123961
  Medicare reassignment Care Compare group NPD
• Crystal Leigh Rose, FNP-C

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1023821196
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1265427256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026035",
            "telephone_number": "208-343-1702",
            "fax_number": "208-342-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026035",
            "telephone_number": "208-343-1702",
            "fax_number": "208-342-7042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Garrity Blvd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836873402",
            "country_code": "US",
            "telephone_number": "208-343-6458",
            "fax_number": "208-343-5031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 S Vanguard Way",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836428540",
            "country_code": "US",
            "telephone_number": "208-343-6458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2235 E Gala St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836428026",
            "country_code": "US",
            "telephone_number": "208-887-3724",
            "fax_number": "208-887-1682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDAHO GASTROENTEROLOGY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "MCLANE",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "208-343-6458"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002799000",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Boise",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Boise",
            "address_1": "425 W Bannock St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837026035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Idaho Family Dental PLLC
• Idaho Family Physicians
• Idaho Family Wellness
• Idaho Federtion of Families (The Brick House)
• Idaho Foot & Ankle Associates
• Idaho GYN/Oncology Services, LLC
• Idaho Hand and Wrist
• Idaho Hand Center, PA
• Idaho Health Screenings & Vaccinations
• Idaho Heart Care

• Gastroenterology Physician in Boise, ID
• Providers in Boise, ID by specialty
• Gastroenterology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.