Laura Geiger
Individual provider Active NPI Pediatrics Physician · Meridian, ID
NPI 1598085805 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1598085805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- M-17717 (ID)
- Practice address
- 4949 S Hillsdale Ave
Meridian, ID 83642-7586 - Phone
- (208) 706-6400
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131031000604 | NM | Practitioner - Pediatric Medicine | 9739314634 | Reassigns benefits to 1 organization |
| I20240506004653 | ID | Practitioner - Pediatric Medicine | 9739314634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current |
Accepting new patients |
| Unm Medical Group Inc | Current |
Accepting new patients | |
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| St Lukes Regional Medical Center | Past |
Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
190 E Bannock St
Ste 2222
Boise, ID 83712
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD2013-0622 | NM | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | M-17717 | ID | Yes |
Addresses
Primary practice location
4949 S Hillsdale Ave
Meridian, ID 83642-7586
Mailing address
190 E Bannock St Ste 2222
Boise, ID 83712-6241
Other practice location 1
1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-3909
Other providers in Meridian, ID
- Jessica Garza
- Robert C. Gaudry
- Gretchen Ruth Gayle
- Lynn Ge-Zerbe
- Jessica Gefre
- Janelle Jazz Gelvezon
- Gem Prep: Meridian LLC
- Gem Prep: Meridian North LLC
- Gem Prep: Meridian South LLC
- Gem State Developmental Center LLC
All providers in Meridian, ID · Pediatrics Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.