ST LUKE'S REGIONAL MEDICAL CENTER (NPI# 1306149919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306149919 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S REGIONAL MEDICAL CENTER |
| Other Organization Name | ST LUKE'S CLINIC - ST LUKE'S FAMILY HEALTH |
| Practice Address |
3090 E Gentry Way Ste 200 Meridian ID 83642-3501 |
| Mailing Address |
2083 E Hospitality Ln Boise ID 83716-6603 |
| Practice Telephone | 2088876813 |
| Mailing Telephone | 2088876813 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |
| 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 | 363L00000X | Nurse Practitioner | 03 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 03 | ID | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Luke's Clinic - St Luke's Family Health | 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 |
| 1205137379 | St Luke's Regional Medical Center | Internal Medicine | 600 W Robbins Rd, Ste 401, Boise, ID 83702-4565 | 2010-11-05 |
| 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 |
3090 E GENTRY WAY STE 200 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780671347 | D Eric Hall | Family Medicine | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3501 | 2005-09-29 |
| 1114094737 | Glen Ronald Bailey | Physical Therapist | 3090 E Gentry Way, Ste 250, Meridian, ID 83642-3501 | 2006-11-29 |
| 1447286125 | Tristan Thorne | Physical Therapist | 3090 E Gentry Way, Ste 250, Meridian, ID 83642-3501 | 2006-06-24 |
| 1740232529 | William L Crump IIi | Family Medicine | 3090 E Gentry Way, Ste 200, Meridian, ID 83642-3501 | 2006-05-17 |
| 1205887288 | Brenda J Adams | Family Medicine | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3501 | 2006-05-13 |
| 1649220385 | St Lukes Family Health, LLC | Family Medicine | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3501 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| 1023506466 | Vast Durable Medical Equipment Inc | Family Medicine | 2985 S Meridian Rd Ste 140, Meridian, ID 83642-7961 | 2018-04-30 |
| 1235651498 | Carmeshia M Cain | Family Medicine | 1312 22nd Ave Ste A, Meridian, MS 39301-4015 | 2017-07-10 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1619397064 | Sara Jane Aney | Family Medicine | 4949 S Hillsdale Ave, Meridian, ID 83642-7586 | 2014-04-24 |
| 1033534276 | Alliance Medical Group, LLC | Family Medicine | 1623 South Wells Avenue, Meridian, ID 83642 | 2014-02-25 |
| 1275979346 | Matthew Robert Sara | Family Medicine | 1648 Nw 1st St, Meridian, ID 83642-2212 | 2013-05-16 |
| 1093074577 | Marisa A Battaglia | Family Medicine | 1623 Wells Ave, Meridian, ID 83642-5040 | 2012-05-03 |
| 1891051942 | Louise Xian Ye-liew | Family Medicine | 2965 East Tarpon, Suite 150, Meridian, ID 83642 | 2012-04-03 |
| 1912221318 | Unity Health Center Pllc | Family Medicine | 1130 E Fairview Ave, Meridian, ID 83642-1813 | 2010-03-15 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on ST LUKE'S REGIONAL MEDICAL CENTER.
| 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.