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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
03 | ID | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Luke's Idaho Endocrinology | 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 |
| 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 |
| Street Address |
403 S 11TH ST STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6969 |
| 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 | ||||
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| 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. |
| 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 |
| 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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| 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.