North Idaho Gastroenterology PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

NORTH IDAHO GASTROENTEROLOGY PLLC

Practice address

1607 Lincoln Way
Suite 200
Coeur D'Alene, ID 83814-2476

Phone

(208) 667-5483

Fax

(208) 667-7062

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stanley A. Toelle, M.D.NPI 1396827507

Title

Administrator

Phone

(208) 667-5483

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley A Toelle, MD

  • Gastroenterology Physician
  • Coeur D Alene, ID
  • NPI 1396827507
  NPD (past) Authorized official

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1578828935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 LINCOLN WAY",
            "address_2": "SUITE 200",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838142476",
            "telephone_number": "208-667-5483",
            "fax_number": "208-667-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 LINCOLN WAY",
            "address_2": "SUITE 200",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838142476",
            "telephone_number": "208-667-5483",
            "fax_number": "208-667-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "TOELLE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-667-5483",
        "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": []
}

• Shannon Kay Mortensen, N.P.
• Kent E Mosby, DDS
• Noa Murphy, LPC
• Lindsay Nelson, LPC
• Brian Lee Norce, DC
• Northwest Behavioral Life Skills
• Northwest Integrated Health, LLP
• Stephanie J Olscamp, CNM
• Matthew Parker, MD
• Brett A Penney, M.D.

• Gastroenterology Physician in Coeur D'Alene, ID
• Providers in Coeur D'Alene, ID by specialty
• Gastroenterology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.