P Praxis·MD
● Active Type 2 · Organization

St Lukes Medical Center Woodriver

Internal Medicine·Ketchum, ID· NPI 1629255153 · Enumerated 2008 · 18 years on NPI
St Lukes Medical Center Woodriver is 1 of 504 internal medicine organizations in Idaho.
NPI age
18 years
Enumerated 2008-01-28
Primary specialty
Internal Medicine
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Cfo, Vp Finance
Last NPPES update
2016-06-22
Source: monthly bulk 2026-05

How this organization compares

Across 504 active internal medicine providers in Idaho.

NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 44% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
100 Hospital Drive
Ketchum, ID 83340
📞 2087882222
Mailing address
Po Box 640
Boise, ID 837010640

Authorized official

Jeff Taylor
Cfo, Vp Finance
📞 2083812520

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    ID license #62 taxonomy 207R00000X
  • Anesthesiology
    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
    ID license #62 taxonomy 207L00000X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    ID license #62 taxonomy 207V00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ST LUKES CLINIC WOODRIVER
    Type code 3 recorded 2008-01-28

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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