Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Richard C Ballantyne, DO

Individual provider Emergency Medicine Physician · NPI 1174745582

Dr. Richard C Ballantyne, DO is a General Surgery in Nampa, Idaho. Qualified in 2003, 23 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Iowa and Idaho.

Years since qualifying
23
Licensed in
IA, ID
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone: (208) 364-3000
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence O0485 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence IA-3634 (IA)
Surgery Physician Taxonomy 208600000X · Licence IA-3634 (IA)

Record details

NPI number1174745582
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJanuary 28, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesTHORACIC SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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