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

St Luke's Regional Medical Center

Organization Rheumatology Physician · NPI 1205137379

St Luke's Regional Medical Center provides Rheumatology Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
Specialties on file
3

Practice location Address checks out

600 W Robbins Rd Ste 401
Boise, ID 83702-4565 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 383-0201
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 03 (ID)
Rheumatology Physician Taxonomy 207RR0500X · Licence 03 (ID)
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X · Licence 03 (ID)

Record details

NPI number1205137379
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Luke's Regional Medical Center
Authorized official Jeff Taylor — System Vp Cfo · (208) 381-2520
Other names St Luke'S Clinic - Intermountain Orthopaedics
NPI enumeratedNovember 5, 2010
Last updated in NPPESNovember 5, 2010
Mailing address600 W Robbins Rd, Ste 100, Boise, ID 83702-4565

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