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

Pioneer Family Medicine PLLC

Organization Family Medicine Physician · NPI 1952335929

Pioneer Family Medicine PLLC is a Family Medicine Physician 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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