St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho
NPI 1720204738 · Pediatric Surgery Physician · Boise, ID
St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho is a Pediatric Surgery Physician organization in Boise, ID (NPI 1720204738).
Provider details
- NPI number
- 1720204738
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carrie Cowgill, Credentialing Coordinator(208) 381-4137
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2008-04-09
Frequently asked questions
- What is St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho's NPI number?
- St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho's National Provider Identifier (NPI) is 1720204738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho?
- St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho is classified in the NPPES registry as Pediatric Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho located?
- St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho's practice location on file with NPPES is 100 E Idaho St, Boise, ID 83712-6223.
- What is St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho's phone number?
- The practice phone number listed in the NPPES registry for St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho is (208) 345-5400.
- Who is the authorized official for St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho?
- The authorized official listed on St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho's NPPES record is Carrie Cowgill, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho's NPI active?
- Yes — St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho's NPI (1720204738) is active in the NPPES registry as of the last update on 2008-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.