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

Dr. Richard C Ballantyne, DO

Individual provider Emergency Medicine Physician · NPI 1174745582

Dr. Richard C Ballantyne, DO is a General Surgery in Nampa, Idaho. Qualified in 2003, 23 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Iowa and Idaho.

Years since qualifying
23
Licensed in
IA, ID
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone: (208) 364-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence O0485 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence IA-3634 (IA)
Surgery Physician Taxonomy 208600000X · Licence IA-3634 (IA)

Record details

NPI number1174745582
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJanuary 28, 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 specialtyGENERAL SURGERY
Also practisesTHORACIC SURGERY
Medical schoolOTHER
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 locations7 on file with Medicare

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