NPIMap

Organization Active NPI

St Lukes Regional Medical Center

Doing business as St Lukes Bariatric Surgery

  • Medical Specialty Clinic/Center
  • Boise, ID
National Provider Identifier
1114117611
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
M4219 Issued in ID
Legal business name
ST LUKES REGIONAL MEDICAL CENTER
Doing business as
St Lukes Bariatric Surgery
Practice address
333 N 1St St
Suite 120
Boise, ID 83702-6100
Phone
(208) 344-3779
NPI assigned
Jul 31, 2007
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. W Christian Oakley, MDNPI 1427097799
Title
MD
Phone
(208) 344-3779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X M4219 ID Primary

Addresses

Primary practice location

333 N 1St St
Suite 120
Boise, ID 83702-6100

Mailing address

PO Box 550
Boise, ID 83701-0550
Phone (208) 344-3779

Other names 1

  • ST LUKES BARIATRIC SURGERY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Reg Medical Center50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Locations

125 E Idaho St
Ste 202
Boise, ID 83712
Phone (208) 381-7215

333 N 1st St
Ste 120
Boise, ID 83702
Phone (208) 336-7333

520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1114117611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837010550",
            "telephone_number": "208-344-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 1ST ST",
            "address_2": "SUITE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026100",
            "telephone_number": "208-344-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "208-344-3779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ID",
            "license": "M4219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST LUKES BARIATRIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.