NPIMap

Individual provider Active NPI

Laura A McGeorge, MD

  • Internal Medicine Physician
  • Boise, ID
National Provider Identifier
1629029699
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-6948 Issued in ID
Practice address
300 E Jefferson St
Suite 300
Boise, ID 83712
Phone
(208) 381-4100
Fax
(208) 381-1666
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M-6948 ID Primary

Addresses

Primary practice location

300 E Jefferson St
Suite 300
Boise, ID 83712

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000484 ID Practitioner - Internal Medicine 0042302549 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-6948IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

4840 N Cloverdale Rd
Boise, ID 83713
Phone (208) 706-8000

1000 E Park Blvd
Ste 120
Boise, ID 83712
Phone (208) 381-4100

701 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 381-6400

300 E Jefferson St
Ste 300
Boise, ID 83712
Phone (208) 381-4100

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

3101 E State St
Ste 2120
Eagle, ID 83616
Phone (208) 473-3275

520 S Eagle Rd
Ste 3102
Meridian, ID 83642
Phone (208) 331-1155

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

Interoperability endpoints

  • Direct secure messaging: lmcgeorge1678@direct.slhs.org

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Lukes Regional Medical CenterBoise, ID, CCN 130006 Hospital Corporate Director Oct 1, 2024
St Luke'S Inpatient Rehabilitation UnitTwin Falls, ID, CCN 13T002 Hospital Corporate Director Jul 1, 2024
St Lukes Nampa Medical CenterNampa, ID, CCN 130071 Hospital Corporate Director Nov 1, 2024
St Lukes Elmore Long Term CareMountain Home, ID, CCN 135006 Skilled nursing facility Corporate Director Jul 1, 2024
St. Luke'S Home CareMeridian, ID, CCN 137028 Home health agency Corporate Director Jul 1, 2024
St. Luke'S HospiceMeridian, ID, CCN 131503 Hospice Corporate Director Jul 1, 2024
St Lukes Clinic-Trinity Mountain MedicalMountain Home, ID, CCN 133999 Rural health clinic Corporate Director Jul 1, 2024

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1629029699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-4100",
            "fax_number": "208-381-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E JEFFERSON ST",
            "address_2": "SUITE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83712",
            "telephone_number": "208-381-4100",
            "fax_number": "208-381-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEORGE",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-6948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.