P Praxis·MD
● Active Type 2 · Organization Subpart

St Lukes Clinic - Wood River Llc

Internal Medicine·Ketchum, ID· NPI 1972891604 · Enumerated 2011 · 14 years on NPI
St Lukes Clinic - Wood River Llc is 1 of 504 internal medicine organizations in Idaho.
NPI age
14 years
Enumerated 2011-07-15
Primary specialty
Internal Medicine
Plus 6 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fowler
Senior Vp, Cfo
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05

How this organization compares

Across 504 active internal medicine providers in Idaho.

NPI age
14 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
6
In the 44% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
100 Hospital Drive
Ketchum, ID 833409999
📞 2087278100
Mailing address
Po Box 640
Boise, ID 837010640
📞 2083812222

Authorized official

Kathryn Fowler
Senior Vp, Cfo
📞 2083818717

Individual providers at this organization

20 individual providers on file at this primary practice address.

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
  • Anesthesiology
    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
    ID license #62 taxonomy 207L00000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    ID license #62 taxonomy 207P00000X
  • Family Medicine
    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...
    ID license #62 taxonomy 207Q00000X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    ID license #62 taxonomy 207V00000X
  • Orthopaedic Surgery
    An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
    ID license #62 taxonomy 207X00000X
  • Urology
    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
    ID license #62 taxonomy 208800000X

Practice context

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

Subpart of St Lukes Medical Center Woodriver Ltd.

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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.

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