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NPI 1841343720
● Active Type 2 · Organization
St Lukes Medical Center Woodriver Ltd
Internal Medicine · Ketchum, ID · NPI 1841343720
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Enumerated 2007 · 19 years on NPI
St Lukes Medical Center Woodriver Ltd is 1 of 504 internal medicine organizations in Idaho.
NPI age
19 years
Enumerated 2007-01-22
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jensen
Director
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 504 active internal medicine providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-01 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
100 Hospital Drive
Ketchum, ID 83340
📞 2087882222
Mailing address
Po Box 1098
Boise, ID 837011098
📞 2083812222
Authorized official
Bruce Jensen
Director
📞 2087278401
Individual providers at this organization
20 individual providers on file at this primary practice address.
Briana Acker
Occupational Therapist
NPI 1841756947
Erin Barker , PA-C
Physician Assistant
NPI 1881246106
Kenneth Brait , MD
Psychiatry & Neurology
NPI 1699716936
Tracey Busby , M.D.
Family Medicine
NPI 1124072251
Sasha Chavez , NP-C
Nurse Practitioner
NPI 1922764737
Peter Curran , MD
Internal Medicine
NPI 1013958222
Martha Curry
Physical Therapist
NPI 1841559226
Nancy Dettori , RN
Registered Nurse
NPI 1871042556
Dan Fairman , MD
Internal Medicine
NPI 1023059250
Mary Kay Foley , PT
Physical Therapist
NPI 1558607861
Kathleen Haisley , MD
Family Medicine
NPI 1821039017
Jon Holmquist
Pharmacist
NPI 1275172249
David Laxson , M.D.
Internal Medicine
NPI 1083691398
Katherine Quaglia , DPT
Physical Therapist
NPI 1336514272
Deborah Robertson , MD
Emergency Medicine
NPI 1407870520
Jasmine Schofield , RN
Registered Nurse
NPI 1679396618
Sarah Schwing , COTA/L
Occupational Therapy Assistant
NPI 1801627559
Sarah Seppa , RD, LD, CDE
Dietitian, Registered
NPI 1407116114
Keith Sivertson , M.D.
Emergency Medicine
NPI 1275560260
Robbin Warner
Physical Therapist
NPI 1003205949
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
Identifiers
Type Value Notes
01 (ID)
62
HOSPITAL STATE LICENSE #
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.