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 Pediatric Gastroenterology Physician · NPI 1801197082

St Luke's Regional Medical Center is a Pediatric Gastroenterology Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010

Practice location Address checks out

100 E Idaho St Ste 316
Boise, ID 83712-6267
Phone: (208) 381-7310
Show map & directions

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

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 03 (ID)

Record details

NPI number1801197082
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 - Idaho Pediatric Gastroenterology
NPI enumeratedNovember 4, 2010
Last updated in NPPESNovember 4, 2010
Mailing address100 E Idaho St, Ste 316, Boise, ID 83712-6267

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