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NPI 1912036005
● Active Type 2 · Organization
St Lukes Regional Medical Center
Internal Medicine · Boise, ID · NPI 1912036005
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Enumerated 2007 · 19 years on NPI
St Lukes Regional Medical Center is 1 of 48 internal medicine organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-05
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
System Vp Cfo
Last NPPES update
2016-09-30
Source: monthly bulk 2026-05
How this organization compares
Across 48 active internal medicine providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-03 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
100 E Idaho St
Boise, ID 837126267
📞 2083812222
Mailing address
Po Box 640
Boise, ID 837010640
📞 2083812222
Authorized official
Jeff Taylor
System Vp Cfo
📞 2083812520
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
Internal Medicine
Primary
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine...
ID license #03 taxonomy 207RH0003X
Identifiers
Type Value Notes
01 (ID)
03
STATE LIC #
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.