St. Joseph Regional Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. JOSEPH REGIONAL MEDICAL CENTER

Doing business as

St. Joseph Medical Group

Practice address

415 6TH St
Lewiston, ID 83501-2431

Phone

(208) 743-2511

Fax

(208) 799-5528

NPI assigned

Mar 6, 2013

Organization subpart

Yes

Parent organization

ST. JOSEPH REGIONAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Tom Safley

Title

Chief Financial Officer

Phone

(208) 799-5696

Specialties & licenses 6

Addresses

Other names 1

• St. Joseph Medical Group Doing business as

Part of

Pro Fees St Joseph RMC

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1689915365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-799-5528",
            "fax_number": "208-799-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-743-2511",
            "fax_number": "208-799-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH REGIONAL MEDICAL CENTER",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "SAFLEY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "208-799-5696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Joseph Regional Medical Center
• St. Joseph Regional Medical Center (St. Joseph Orthopaedic Care)
• St. Joseph Regional Medical Center
• St. Joseph Regional Medical Center
• St. Joseph Regional Medical Center (St. Joseph Medical Group)
• St. Joseph Regional Medical Center
• St. Joseph Regional Medical Center
• St. Joseph's Regional Medical Center
• Catherine Marie Staab, LCPC
• Lisa Ann Stauffer, CPHT

• Internal Medicine Physician in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.