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

St Luke's Regional Medical Center

Organization Urology Physician · NPI 1780793596

St Luke's Regional Medical Center is an Urology Physician in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
3

Practice location Address checks out

520 S Eagle Rd Ste 3112
Meridian, ID 83642-6351
Phone: (208) 706-5800
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 03 (ID)
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Taxonomy 2088F0040X · Licence 03 (ID)
Pediatric Urology Physician Taxonomy 2088P0231X · Licence 03 (ID)

Record details

NPI number1780793596
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Luke's Regional Medical Center
Authorized official Jeff Taylor — Sr Vp/Cfo · (208) 381-2520
Other names St Lukes Mountain States Urology
NPI enumeratedAugust 29, 2006
Last updated in NPPESSeptember 30, 2016
Mailing addressPo Box 640, Boise, ID 83701-0640

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