OrganizationActive
Blue Lakes Gastroenterology, PLLC
NPI 1144267022 · Gastroenterology Physician · Twin Falls, ID
Provider details
- NPI number
- 1144267022
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Ward, Physician(208) 814-8300
- License
- M6665 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
775 Pole Line Rd W
Suite 203
Twin Falls, ID 83301-5814
Phone: (208) 814-8300
Fax: (208) 733-8970
Street-level locationGet directions
Mailing address
775 Pole Line Rd W
Twin Falls, ID 83301-5814
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2013-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.