Individual provider Active NPI

Geoffroi Andre Golay, D.C.

  • Chiropractor
  • Twin Falls, ID
National Provider Identifier
1841354495
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA806 Issued in ID
Practice address
488 Blue Lakes Blvd N
Suite 107
Twin Falls, ID 83301-5236
Phone
(208) 733-0123
Fax
(208) 734-2610
NPI assigned
Dec 20, 2006
Last updated
May 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA806 ID Primary

Addresses

Primary practice location

488 Blue Lakes Blvd N
Suite 107
Twin Falls, ID 83301-5236

Mailing address

488 Blue Lakes Blvd N
Suite 107
Twin Falls, ID 83301-5236
Phone (208) 733-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091112000643 ID Practitioner - Chiropractic 1456418029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2068 Addison Ave E
Twin Falls, ID 83301-5306
Phone (208) 733-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA806IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Geoffroi a. Golay, D.C., PLLC Chiropractor CurrentSince Nov 13, 2008 Accepting new patients
Blue Lakes Medicine PA PastSince Mar 1, 2016 Accepting new patients
West Dearborn Urgent Care PLLC PastSince Jan 1, 2022 Accepting new patients
Blue Lakes Chiropractic, PA Chiropractor PastSince Nov 14, 2018 Accepting new patients

Locations

2068 Addison Ave E
Twin Falls, ID 83301
Phone (208) 733-0123

488 Blue Lakes Blvd N
Ste 107
Twin Falls, ID 83301
Phone (208) 733-0123

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1841354495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 BLUE LAKES BLVD N",
            "address_2": "SUITE 107",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015236",
            "telephone_number": "208-733-0123",
            "fax_number": "208-734-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 BLUE LAKES BLVD N",
            "address_2": "SUITE 107",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015236",
            "telephone_number": "208-733-0123",
            "fax_number": "208-734-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLAY",
        "first_name": "GEOFFROI",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.