Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idaho Pediatric Gastroenterology PA

Organization Specialist · NPI 1780871467

Idaho Pediatric Gastroenterology PA is a Specialist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 E Idaho St Ste 316
Boise, ID 83712-6223
Phone: (208) 381-7310
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M7673 (ID)

Record details

NPI number1780871467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Thompson — President · (208) 381-7310
NPI enumeratedSeptember 26, 2007
Last updated in NPPESSeptember 26, 2007
Mailing address100 E Idaho St, Suite 316, Boise, ID 83712-6223

Other providers in Boise