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

St Lukes Regional Medical Center

Organization Family Medicine Physician · NPI 1922042506

St Lukes Regional Medical Center is a Family Medicine Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

300 E Jefferson St
Boise, ID 83712-6246
Phone: (208) 381-4100
Fax: (208) 381-1665
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1922042506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Orr — Director · (208) 381-4103
Other names St Lukes Internal Medicine
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 14, 2009
Mailing addressPo Box 550, Boise, ID 83701-0550

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