OrganizationActive
St Lukes Regional Medical Center
NPI 1568731925 · Surgery Physician · Meridian, ID
Provider details
- NPI number
- 1568731925
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St Lukes Regional Medical Center
- Organization subpart
- Yes
- Authorized official
- Jeff Taylor, System Vp Cfo(208) 381-2520
- License
- 03 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3399 E Louise Dr
Ste 400
Meridian, ID 83642-5047
Phone: (208) 364-3000
Fax: (208) 364-3191
Street-level locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other names (DBA / former)
- Doing business as
- St Lukes Clinic - General Surgery
Registry dates
- Enumerated
- 2011-12-14
- Last updated
- 2011-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.