St Luke'S Clinic Llc

• Marci Ahlquist Nurse Practitioner NPI 1376084673
• Julie Akins, FNP Nurse Practitioner NPI 1285811505
• Kovic Bailey, DO Family Medicine NPI 1194467688
• John Baker, M.D. Internal Medicine NPI 1124061262
• Gregory Ball, DO Internal Medicine NPI 1407985278
• Gretchen Basen, PA-C Physician Assistant NPI 1861549396
• Cory Bates, M.D. Urology NPI 1629256573
• Ronald Blair, D.O. Surgery NPI 1114947389
• Patrick Desmond, M.D. Internal Medicine NPI 1821038282
• Dennis Enomoto, MD Internal Medicine NPI 1649226127
• Daryl Ficklin, DO Internal Medicine NPI 1346213303
• Brian Fortuin, M.D. Internal Medicine NPI 1740221191
• Kristi Fregia Rucks, P.T. Physical Therapist NPI 1871659748
• Jason Greenhalgh, M.D. Urology NPI 1952478703
• Kenneth Harris, MD Family Medicine NPI 1447295480
• Reed Harris, D.O. Internal Medicine NPI 1780616888
• Jeffrey Himes, OTR/L Occupational Therapist NPI 1548449358
• Joseph Hymas, MD Internal Medicine NPI 1942490578
• David Johnson, M.D. Surgery NPI 1922035104
• Brandy Jones, ADULT-GERONTOLOGY NP Nurse Practitioner NPI 1750900320

• Family Medicine Primary
  Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
  taxonomy 207Q00000X
• Clinic/Center
  Definition to come...
  taxonomy 261QR1300X
• Internal Medicine
  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,...
  taxonomy 207R00000X
• Internal Medicine
  An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
  taxonomy 207RC0000X
• Internal Medicine
  An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
  taxonomy 207RN0300X
• Pediatrics
  A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
  taxonomy 208000000X
• Preventive Medicine
  Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures....
  taxonomy 2083X0100X
• Surgery
  A 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...
  taxonomy 208600000X

• St Lukes Clinic - Magic Valley/Jerome
  Type code 3 recorded 2022-12-08
• St Lukes Jerome RHC
  Type code 3 recorded 2022-12-08

Multi-provider organization. 20 individual providers on file at this primary address. Plus 1 secondary practice location.

Subpart of St Lukes Magic Valley Regional Medical Center Ltd.

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3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.