St Lukes Regional Med Ctr DBA St Lukes Pediatric Surgery of Idaho
NPI 1720204738ActiveOrganization· Surgery, Pediatric Surgery· Boise, ID
Surgery, Pediatric Surgery in Boise, Idaho, registered in NPPES in April 2007. The authorized official on file is Carrie L. Cowgill, Credentialing Coordinator.
Overview
| NPI | 1720204738 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2007 |
| Last updated in NPPES | Apr 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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