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

St Lukes Regional Medical Center

Organization Surgery Physician · NPI 1568731925

St Lukes Regional Medical Center provides Surgery Physician services in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
Specialties on file
2

Practice location Address checks out

3399 E Louise Dr Ste 400
Meridian, ID 83642-5047 Not confirmed with CMS for 14 years — call before visiting
Phone: (208) 364-3000
Fax: (208) 364-3191
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 03 (ID)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 03 (ID)

Record details

NPI number1568731925
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Lukes Regional Medical Center
Authorized official Jeff Taylor — System Vp Cfo · (208) 381-2520
Other names St Lukes Clinic - General Surgery
NPI enumeratedDecember 14, 2011
Last updated in NPPESDecember 14, 2011
Mailing address190 E Bannock St, Boise, ID 83712-6241

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