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Blue Lakes Gastroenterology, Pllc

Gastroenterology Physician in Twin Falls, ID · enumerated 2006 · authorized official Robert Ward, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144267022

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Lakes Gastroenterology, Pllc
Practice address 775 Pole Line Rd W, Suite 203, Twin Falls, ID, 83301
Fax (208) 733-8970
Enumeration date Jun 1, 2006
Last updated in NPPES Mar 9, 2013

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License M6665 (ID) Primary

Authorized official

Name Robert Ward
Title Physician

Other identifiers

Identifier Type State Issuer
806237600 Medicaid ID -
CJ6218 Other ID RR MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Blue Lakes Gastroenterology, Pllc?
Blue Lakes Gastroenterology, Pllc is registered in NPPES as a Gastroenterology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-09.