Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pioneer Family Medicine PLLC

Organization Family Medicine Physician · NPI 1952335929

Pioneer Family Medicine PLLC provides Family Medicine Physician services in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4740 N Penngrove Way Ste 100
Meridian, ID 83646
Phone: (208) 938-3663
Fax: (208) 938-3664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-253 (ID)

Record details

NPI number1952335929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Ludwig — Owner · (208) 938-3663
NPI enumeratedJuly 10, 2006
Last updated in NPPESAugust 23, 2019
Mailing address4740 N. Penngrove Way, Ste. 100, Meridian, ID 83646

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