St Lukes Family Health, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST LUKES FAMILY HEALTH, LLC

Practice address

3090 E Gentry Way
Suite 200
Meridian, ID 83642-3501

Phone

(208) 887-4606

Fax

(208) 887-0810

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Carol Johnson

Title

Assistant Administrator

Phone

(208) 887-4606

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Cron, MD

  • Family Medicine Physician
  • Boise, ID
  • NPI 1497707897
  NPD (past)
• John J Eck, M.D.

  • Family Medicine Physician
  • Boise, ID
  • NPI 1033148044
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1649220385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 E GENTRY WAY",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423501",
            "telephone_number": "208-887-4606",
            "fax_number": "208-887-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 E GENTRY WAY",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423501",
            "telephone_number": "208-887-4606",
            "fax_number": "208-887-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES FAMILY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "208-887-4606"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Luke'S Regional Medical Center
• St Luke'S Regional Medical Center
• St Luke'S Regional Medical Center
• St Luke'S Regional Medical Center
• St Lukes Clinic - Treasure Valley LLC
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.