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Grand Teton Gastroenterology, PA

Gastroenterology Physician in Idaho Falls, ID · enumerated 2006 · authorized official Melissa Lemons, Billing Supervisor.

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

National Provider Identifier

1154390938

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Teton Gastroenterology, PA
Other name <Unavail>
Practice address 2770 Cortez Ave, Idaho Falls, ID, 83404
Fax (208) 528-4242
Enumeration date Mar 15, 2006
Last updated in NPPES Jun 7, 2010

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Melissa Lemons
Title Billing Supervisor

Other identifiers

Identifier Type State Issuer
002708500 Medicaid ID -

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

Where is Grand Teton Gastroenterology, PA located?
The practice location on file with NPPES is in Idaho Falls, ID.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-06-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-06-07.