NPIMap

Organization Active NPI

St Luke's Regional Medical Center

Doing business as St Luke's Clinic - Intermountain Orthopaedics

  • Orthopaedic Surgery Physician
  • Boise, ID
National Provider Identifier
1205137379
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
03 Issued in ID
Legal business name
ST LUKE'S REGIONAL MEDICAL CENTER
Doing business as
St Luke's Clinic - Intermountain Orthopaedics
Practice address
600 W Robbins Rd
Ste 401
Boise, ID 83702-4565
Phone
(208) 383-0201
NPI assigned
Nov 5, 2010
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKE'S REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Jeff Taylor
Title
System VP Cfo
Phone
(208) 381-2520

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 03 ID
Orthopaedic Surgery Physician 207X00000X 03 ID Primary
Pediatric Orthopaedic Surgery Physician 207XP3100X 03 ID

Addresses

Primary practice location

600 W Robbins Rd
Ste 401
Boise, ID 83702-4565

Mailing address

600 W Robbins Rd
Ste 100
Boise, ID 83702-4565
Phone (208) 489-4307

Other names 1

  • ST LUKE'S CLINIC - INTERMOUNTAIN ORTHOPAEDICS Doing business as

National Provider Directory

National Provider Directory
Part of
St Lukes Reg Medical Center

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1205137379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W ROBBINS RD",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024565",
            "telephone_number": "208-489-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W ROBBINS RD",
            "address_2": "STE 401",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024565",
            "telephone_number": "208-383-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKE'S REGIONAL MEDICAL CENTER",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SYSTEM VP CFO",
        "authorized_official_telephone_number": "208-381-2520"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ID",
            "license": "03",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "03",
            "primary": true
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "ID",
            "license": "03",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST LUKE'S CLINIC - INTERMOUNTAIN ORTHOPAEDICS",
            "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 Nov 5, 2010; 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.