ST LUKE'S REGIONAL MEDICAL CENTER


Address: 403 S 11th St, Ste 100, Boise, ID 83702-6969
Phone: 2084290300

ST LUKE'S REGIONAL MEDICAL CENTER (NPI# 1801113329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801113329
Entity Type Organization
Organization Name ST LUKE'S REGIONAL MEDICAL CENTER
Other Organization Name ST LUKE'S IDAHO ENDOCRINOLOGY
Practice Address 403 S 11th St
Ste 100
Boise
ID 83702-6969
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2084290300
Mailing Telephone 2084290300
Enumeration Date 2010-04-23
Last Update Date 2010-04-23
Authorized Official Name JOHN KEE (VP PHYSICIAN SERVICES)
Authorized Official Telephone 2083815329
Is Organization Subpart Y
Parent Organization Name ST. LUKE'S REGIONAL MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
03 ID Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
St Luke's Idaho Endocrinology Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
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

Office Location

Street Address 403 S 11TH ST
STE 100
City BOISE
State ID
Zip Code 83702-6969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720068760 Irinel N Stanciu Internal Medicine 403 S 11th St, Ste 100, Boise, ID 83702-6969 2006-01-17
1912130394 Lori Ann Rishel Nurse Practitioner 403 S 11th St, Suite 135, Boise, ID 83702-6969 2009-09-01
1053584284 Michael R Bailey Md Dds Pa Dentist 403 S 11th St, Suite 300, Boise, ID 83702-6968 2008-04-09
1689845026 Patrick Casey Chiropractor 403 S 11th St, Suite 110, Boise, ID 83702-6968 2008-03-13
1518165984 Idaho Endocrinology, Pllc Internal Medicine 403 S 11th St, Suite 100, Boise, ID 83702-6968 2007-07-06
1659414399 Richard B. Christensen, M.d. Internal Medicine 403 S 11th St, Suite 100, Boise, ID 83702-6968 2007-02-14
1255489746 Gihan E. Dawood Internal Medicine 403 S 11th St, Suite 100, Boise, ID 83702-6969 2007-01-08
1184772865 Klena Chiropractic Clinic Chiropractor 403 S 11th St, Suite 110, Boise, ID 83702-6968 2007-01-08
1841385523 Brett Troyer Internal Medicine 403 S 11th St, Suite 210, Boise, ID 83702-6969 2006-10-04
1720173628 Idaho Sleep Specialists, PC Internal Medicine 403 S 11th St, Suite 210, Boise, ID 83702-6969 2006-10-04
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720068760 Irinel N Stanciu Internal Medicine 403 S 11th St, Ste 100, Boise, ID 83702-6969 2006-01-17
1518165984 Idaho Endocrinology, Pllc Internal Medicine 403 S 11th St, Suite 100, Boise, ID 83702-6968 2007-07-06
1659414399 Richard B. Christensen, M.d. Internal Medicine 403 S 11th St, Suite 100, Boise, ID 83702-6968 2007-02-14
1255489746 Gihan E. Dawood Internal Medicine 403 S 11th St, Suite 100, Boise, ID 83702-6969 2007-01-08
1417967696 Treasure Valley Endocrinology PC Internal Medicine 900 N Liberty St Ste 201, Boise, ID 83704-8707 2006-08-09
1104836303 Julie A. Foote Internal Medicine 900 N Liberty St Ste 201, Boise, ID 83704-8707 2006-08-09
1346272127 Richard B Christensen Internal Medicine 403 South 11th St, Ste 100, Boise, ID 83702-6906 2006-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144783499 Mountain States Diabetes Relief, LLC Internal Medicine 4573 E Majestic, Idaho Falls, ID 83406 2019-04-12
1679968051 Michael Dee Holyoak Internal Medicine 520 S Eagle Rd Ste 1234, Meridian, ID 83642-6355 2015-04-01
1902143134 Ennis Endocrinology, Pllc Internal Medicine 2450 E Gala St Ste 100, Meridian, ID 83642-4805 2013-01-08
1366647729 Robert F. Ennis Internal Medicine 1626 Wells Ave, Suite 105, Meridian, ID 83642-4524 2007-06-18
1003881970 Lynn Ge-zerbe Internal Medicine 1759 S Millenium Way, Meridian, ID 83642-1505 2006-02-22
1619977600 John E Liljenquist Internal Medicine 2220 E 25th St, Idaho Falls, ID 83404-7542 2005-07-30
1437159423 Carl D Vance Internal Medicine 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 2005-07-30
1285142943 Selkirk Endocrinology, Pllc Internal Medicine 1125 E Polston Ave Ste B, Post Falls, ID 83854-6045 2018-01-16
1336220243 Rocky Mountain Diabetes and Osteoporosis Center Pa Internal Medicine 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 2006-10-18
1114961190 Maria R Rodebaugh Internal Medicine 1919 Lincoln Way, 211, Coeur D Alene, ID 83814-2527 2006-06-16
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Competitor

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City BOISE
Zip Code 83702

Improve Information

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Dataset Information

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.

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