NPI age
19 years
Enumerated 2007-04-18
● Active Type 2 · Organization
St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery Of Idaho
St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery Of Idaho is 1 of 10 surgery organizations in Idaho.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cowgill
Credentialing Coordinator
Last NPPES update
2008-04-09
Source: monthly bulk 2026-05
How this organization compares
Across 10 active surgery providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
100 E Idaho St, Suite 300
Boise, ID 837126223
Mailing address
100 E Idaho St, Suite 300
Boise, ID 837126223
Authorized official
Carrie L Cowgill
Credentialing Coordinator
📞 2083814137
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Shane Ahlers, M.D. Internal Medicine NPI 1861802332
- May Alsanea, PHARMD Pharmacist NPI 1174413439
- Michela Altergott, PHARMD Pharmacist NPI 1730746900
- Suzanne Anstine, MD Obstetrics & Gynecology NPI 1790770246
- R Archibald, MD Obstetrics & Gynecology NPI 1831147248
- Chase Ayres, PHARMD Pharmacist NPI 1922628080
- Viviana Baeza Nunez Massage Therapist NPI 1083487565
- Diane Bartlett, LCSW Social Worker NPI 1750700472
- Joshua Barton, MD Surgery NPI 1265401947
- Bryce Benson Pharmacist NPI 1740828383
- Madison Bernhardt Genetic Counselor, MS NPI 1275029340
- David Bettis, MD Psychiatry & Neurology NPI 1053425603
- Michele Betts, LCSW Social Worker NPI 1548681380
- Tricia Beveridge-Choo, NP Nurse Practitioner NPI 1295053189
- Kacey Blea Physician Assistant NPI 1205561727
- Sarah Bolender, MD Radiology NPI 1811003395
- George Booth, MD Pediatrics NPI 1497708614
- Joanna Bork Dietitian, Registered NPI 1740605740
- Dustin Bowman, PA-C Physician Assistant NPI 1386680239
- Kendra Bowman, MD, PHD Surgery NPI 1811029507
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 10 Surgery providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.