OrganizationActive
Grand Teton Gastroenterology, PA
NPI 1154390938 · Gastroenterology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1154390938
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Lemons, Billing Supervisor(208) 528-4255
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
2770 Cortez Ave
Idaho Falls, ID 83404-7590
Phone: (208) 522-4000
Fax: (208) 528-4242
Approximate (ZIP-level) locationGet directions
Mailing address
2770 Cortez Ave
Idaho Falls, ID 83404-7590
Other names (DBA / former)
- Former legal business name
- Digestive Health Center
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2010-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.