ST LUKE'S REGIONAL MEDICAL CENTER (NPI# 1205137379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205137379 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S REGIONAL MEDICAL CENTER |
| Other Organization Name | ST LUKE'S CLINIC - INTERMOUNTAIN ORTHOPAEDICS |
| Practice Address |
600 W Robbins Rd Ste 401 Boise ID 83702-4565 |
| Mailing Address |
600 W Robbins Rd Ste 100 Boise ID 83702-4565 |
| Practice Telephone | 2083830201 |
| Mailing Telephone | 2084894307 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |
| Authorized Official Name | JEFF TAYLOR (SYSTEM VP CFO) |
| Authorized Official Telephone | 2083812520 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST LUKE'S REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
03 | ID | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
03 | ID | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 03 | ID | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ST LUKE'S CLINIC - INTERMOUNTAIN ORTHOPAEDICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548365919 | St Luke's Regional Medical Center | Hospice Care, Community Based | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2006-09-13 |
| 1316243330 | St Luke's Regional Medical Center | Psychologist | 100 E Idaho St, Ste 200, Boise, ID 83712-6267 | 2011-02-09 |
| 1306149919 | St Luke's Regional Medical Center | Nurse Practitioner | 3090 E Gentry Way, Ste 200, Meridian, ID 83642-3501 | 2010-12-21 |
| 1801197082 | St Luke's Regional Medical Center | Pediatrics | 100 E Idaho St, Ste 316, Boise, ID 83712-6267 | 2010-11-04 |
| 1386963205 | St Luke's Regional Medical Center | Obstetrics & Gynecology | 100 E Idaho St, Suite 400, Boise, ID 83712-6267 | 2010-05-18 |
| 1659699841 | St Luke's Regional Medical Center | Surgery | 333 N 1st St, Ste 280, Boise, ID 83702-6100 | 2010-05-12 |
| 1801113329 | St Luke's Regional Medical Center | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2010-04-23 |
| 1821314584 | St Luke's Regional Medical Center | Orthopaedic Surgery | 520 S Eagle Rd, Suite 3213, Meridian, ID 83642-6351 | 2010-04-20 |
| 1184958936 | St Luke's Regional Medical Center | Family Medicine | 130 E Boise Ave, Boise, ID 83706-4302 | 2009-09-28 |
| 1962606376 | St Luke's Regional Medical Center | Family Medicine | 520 S Eagle Rd, Suite 3201, Meridian, ID 83642-6308 | 2007-06-12 |
| Street Address |
600 W ROBBINS RD STE 401 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527186 | Lee M Kornfield | Internal Medicine | 600 W Robbins Rd, Suite 301, Boise, ID 83702-4565 | 2005-09-07 |
| 1265984637 | Andrea Sutton | Specialist/Technologist | 600 W Robbins Rd, Suite 401, Boise, ID 83702-4565 | 2016-11-01 |
| 1447206065 | Michael J Curtin | Orthopaedic Surgery | 600 W Robbins Rd, Ste 100, Boise, ID 83702-4565 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101594 | Brittney Davis | Orthopaedic Surgery | 5910 W Targee St, Boise, ID 83709-3151 | 2020-07-08 |
| 1942668157 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 1789 S Broadway Ave, Suite 100, Boise, ID 83706-3800 | 2016-02-02 |
| 1639495708 | Krysten Marie Bell | Orthopaedic Surgery | 2178 S Myers Pl, Boise, ID 83706-5503 | 2010-04-14 |
| 1164657854 | James Thomas Beckmann | Orthopaedic Surgery | 1109 W. Myrtle St. Suite 200, St. Luke's Hospital System, Boise, ID 83702 | 2009-05-25 |
| 1326289364 | Steven B Daines | Orthopaedic Surgery | 6165 W Emerald, Boise, ID 83704-8613 | 2009-03-22 |
| 1336392448 | Intermountain Orthopaedic Pllc | Orthopaedic Surgery | 600 N. Robbins Rd, Ste 401, Boise, ID 83702-4539 | 2008-11-03 |
| 1801010541 | Jason F Robison | Orthopaedic Surgery | 600 N Robbins Road, Suite 100, Boise, ID 83702 | 2007-04-12 |
| 1487799813 | Roman Schwartsman Md PC | Orthopaedic Surgery | 6590 W Norwood Dr, Boise, ID 83704 | 2007-02-21 |
| 1992817167 | Tom Faciszewski | Orthopaedic Surgery | 4850 N Rosepoint Way, Suite 100, Boise, ID 83713-5262 | 2006-08-31 |
| 1205944303 | Joseph Randall Lynch | Orthopaedic Surgery | 8854 W Emerald St Ste 102, Boise, ID 83704-4845 | 2006-08-28 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.