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

Cody D Heiner, MD

Individual provider Occupational Medicine Physician · NPI 1770790313

Cody D Heiner, MD is a Preventive Medicine in Boise, Idaho. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2003, 23 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
23
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
ID
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

703 S Americana Blvd
Boise, ID 83702-5099
Phone: (208) 706-5445
Fax: (208) 706-7501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence M10755 (ID)

Record details

NPI number1770790313
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESJanuary 24, 2014
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyPREVENTIVE MEDICINE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
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 locations3 on file with Medicare

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