NPI age
14 years
Enumerated 2011-12-14
● Active Type 2 · Organization
Subpart
St Lukes Regional Medical Center
St Lukes Regional Medical Center is 1 of 260 surgery organizations in Idaho.
Primary specialty
Surgery
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
System Vp Cfo
Last NPPES update
2011-12-14
Source: monthly bulk 2026-05
How this organization compares
Across 260 active surgery providers in Idaho.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
3399 E Louise Dr, Ste 400
Meridian, ID 836425047
Mailing address
190 E Bannock St
Boise, ID 837126241
Authorized official
Jeff Taylor, CFO
System Vp Cfo
📞 2083812520
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Roberto Barresi, MD Surgery NPI 1740231620
- Madison Catalano Physician Assistant NPI 1437832755
- Jessa Cook, ATL, ATC Specialist/Technologist NPI 1235761818
- Annalise Duran, ATC,LAT Specialist/Technologist NPI 1306703681
- Lauren Galligar, PA-C Physician Assistant NPI 1245789536
- Jonathan Giles, MD Surgery NPI 1457382723
- Wendy Jones, PA-C Physician Assistant NPI 1902188147
- Eric Konkel, PA Physician Assistant NPI 1184189839
- Anne Peterson Physician Assistant NPI 1447688312
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
-
Thoracic Surgery (Cardiothoracic Vascular Surgery)A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall,...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ST LUKES CLINIC - GENERAL SURGERY
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
Subpart of St Lukes Regional Medical Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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