Provider Type Icon

ST LUKES REGIONAL MEDICAL CENTER NPI 1972627628


NPI Information

NPI: 1972627628
Provider Name: ST LUKES REGIONAL MEDICAL CENTER

Doing Business As: ST LUKES DEVELOPMENTAL PEDIATRICS

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
100 E IDAHO ST
STE 200
BOISE, ID
ZIP 83712
Phone: (208) 381-7312
Get Directions

ST LUKES REGIONAL MEDICAL CENTER is a developmental - behavioral pediatrics pediatrics in Boise, ID. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. ST LUKES REGIONAL MEDICAL CENTER NPI is 1972627628. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Lukes Developmental Pediatrics.

The provider's business location address is:

100 E IDAHO ST
STE 200
BOISE, ID
ZIP 83712-223
Phone: (208) 381-7312

The provider's authorized official is Jerry Hirschfeld .
The authorized official title is Administrator and has the following contact phone number (208) 381-2818.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics03IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103OTHERIDAHOHOSPITAL STATE LIC #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.