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St Luke'S Regional Medical Center

Pediatrics·Boise, ID· NPI 1801197082 · Enumerated 2010 · 15 years on NPI
St Luke'S Regional Medical Center is 1 of 7 pediatrics organizations in Idaho.
NPI age
15 years
Enumerated 2010-11-04
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
System Vp Cfo
Last NPPES update
2010-11-04
Source: monthly bulk 2026-05

How this organization compares

Across 7 active pediatrics providers in Idaho.

NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-11Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
100 E Idaho St, Ste 316
Boise, ID 837126267
📞 2083817310
Mailing address
100 E Idaho St, Ste 316
Boise, ID 837126267
📞 2083817310

Authorized official

Jeff Taylor
System Vp Cfo
📞 2083812520

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Allopathic & Osteopathic Physicians › Pediatrics
  • Pediatrics Primary
    A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and...
    ID license #03 taxonomy 2080P0206X

Other names on file (1)

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

  • ST LUKE'S CLINIC - IDAHO PEDIATRIC GASTROENTEROLOGY
    Type code 3 recorded 2010-11-04

Practice context

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

Subpart of St Luke'S Regional Medical Center.

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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.

Related

Pediatrics organizations in Idaho
→ Idaho hub
About this specialty
→ Specialty guide