St Lukes Regional Medical Center Dba St Luke'S Internal Medicine
NPI 1790983385 · Physician Assistant · Boise, ID
St Lukes Regional Medical Center Dba St Luke'S Internal Medicine is a Physician Assistant organization in Boise, ID (NPI 1790983385).
Provider details
- NPI number
- 1790983385
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Carrie Cowgill, Credentialing Coordinator(208) 381-4137
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Other names (DBA / former)
- Other name
- Slim Midlevel Providers
Registry dates
- Enumerated
- 2007-07-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is St Lukes Regional Medical Center Dba St Luke'S Internal Medicine's NPI number?
- St Lukes Regional Medical Center Dba St Luke'S Internal Medicine's National Provider Identifier (NPI) is 1790983385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Lukes Regional Medical Center Dba St Luke'S Internal Medicine?
- St Lukes Regional Medical Center Dba St Luke'S Internal Medicine is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is St Lukes Regional Medical Center Dba St Luke'S Internal Medicine located?
- St Lukes Regional Medical Center Dba St Luke'S Internal Medicine's practice location on file with NPPES is 300 E Jefferson St, Boise, ID 83712-6246.
- What is St Lukes Regional Medical Center Dba St Luke'S Internal Medicine's phone number?
- The practice phone number listed in the NPPES registry for St Lukes Regional Medical Center Dba St Luke'S Internal Medicine is (208) 381-4100.
- Who is the authorized official for St Lukes Regional Medical Center Dba St Luke'S Internal Medicine?
- The authorized official listed on St Lukes Regional Medical Center Dba St Luke'S Internal Medicine'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 Medical Center Dba St Luke'S Internal Medicine's NPI active?
- Yes — St Lukes Regional Medical Center Dba St Luke'S Internal Medicine's NPI (1790983385) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.