Organization Active NPI

Confluence Sleep & Pulmonary LLC

  • Pulmonary Disease Physician
  • Lewiston, ID
National Provider Identifier
1124135165
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CONFLUENCE SLEEP & PULMONARY LLC
Practice address
307 Saint Johns Way
Suite 16
Lewiston, ID 83501-2435
Phone
(208) 746-8600
Fax
(208) 746-8604
NPI assigned
Aug 24, 2006
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Luke A Pluto, M.D.
Title
Owner
Phone
(208) 746-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

307 Saint Johns Way
Suite 16
Lewiston, ID 83501-2435

Mailing address

307 Saint Johns Way
Suite 16
Lewiston, ID 83501-2435
Phone (208) 746-8600

Other identifiers 6

IdentifierTypeStateIssuer
000010158930OtherIDREGENCE BLUESHIELD
0215165OtherWALABOR & INDUSTRIES
1123389MedicaidWA
DF4584OtherRAILROAD MEDICARE
804124700MedicaidID
B5650OtherIDBLUE CROSS OF IDAHO

National Provider Directory

National Provider Directory

Locations

307 Saint Johns Way
Ste 16
Lewiston, ID 83501
Phone (208) 305-6119

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1124135165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SAINT JOHNS WAY",
            "address_2": "SUITE 16",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012435",
            "telephone_number": "208-746-8600",
            "fax_number": "208-746-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SAINT JOHNS WAY",
            "address_2": "SUITE 16",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012435",
            "telephone_number": "208-746-8600",
            "fax_number": "208-746-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFLUENCE SLEEP & PULMONARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "PLUTO",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-746-8600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "000010158930",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0215165",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123389",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF4584",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804124700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "B5650",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.