NPIMap

Organization Active NPI

Saltzer Medical Group PA

  • Clinical Medical Laboratory
  • Meridian, ID
National Provider Identifier
1700911948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SALTZER MEDICAL GROUP PA
Practice address
520 S Eagle Rd
Meridian, ID 83642-6308
Phone
(208) 463-3000
Fax
(208) 463-3034
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William E Savage, CEO
Title
Ceo
Phone
(208) 463-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

520 S Eagle Rd
Meridian, ID 83642-6308

Mailing address

217 W Georgia Ave Ste 115
Nampa, ID 83686-6816
Phone (208) 463-3000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0911726St Lukes Meridian Medical Center520 S Eagle Rd, Meridian, ID 83642AccreditationApr 26, 2027
13D2068325St Luke's Internal Medicine520 S Eagle Rd Ste 3102, Meridian, ID 83642Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Saltzer Medical Group PA7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700911948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W GEORGIA AVE STE 115",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866816",
            "telephone_number": "208-463-3000",
            "fax_number": "208-463-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426308",
            "telephone_number": "208-463-3000",
            "fax_number": "208-463-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTZER MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-463-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.