Saltzer Gastroenterology Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SALTZER GASTROENTEROLOGY CENTER, LLC

Practice address

875 S Vanguard Way Ste 300
Meridian, ID 83642-7552

Phone

(208) 960-0851

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By 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

Sean McCallister

Title

Administrator

Phone

(208) 960-0851

Specialties & licenses 1

Addresses

Listed as

Saltzer Gastroenterology Center LLCCCN 13C0001088

Medicare certification status

Terminated Voluntary: merger or closure, Mar 29, 2024From the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ihc Health Services Inc

  dba North Cache Valley Clinic

  • Family Medicine Physician
  • Hyde Park, UT
  • NPI 1740324581

  Member Of

  NPD member

Practitioners 1

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.

• Joel Isidore Lans, M.D.

  • Gastroenterology Physician
  • Verona, WI
  • NPI 1952362329
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1356918916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S VANGUARD WAY STE 300",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S VANGUARD WAY STE 300",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427552",
            "telephone_number": "208-960-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTZER GASTROENTEROLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "MCCALLISTER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-960-0851"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Alphonsus Regional Medical Center Inc (Saint Alphonsus Rehabilitation Services)
• Lauren Michelle Salas
• Kayla Denise Salcido, FNP-C
• Madison Danielle Salinas
• Anthony Joseph Salkas, MSW
• Saltzer Medical Group PA
• Saltzer Medical Group PA
• Saltzer Medical Group PA
• Saltzer Medical Group PA
• Yuting Salverson

• Ambulatory Surgical Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.