1. Home
  2. Directory
  3. Idaho
  4. Ketchum
  5. Internal Medicine
  6. NPI Profile

ST LUKES CLINIC WOODRIVER
NPI 1629255153
Internal Medicine in Ketchum, ID

Active since January 28, 2008
100 HOSPITAL DRIVE, KETCHUM, ID 83340(208) 788-2222 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Lukes Clinic Woodriver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST LUKES CLINIC WOODRIVER (NPI 1629255153) is a healthcare organization registered as an internal medicine in Ketchum, Idaho and active in the NPI registry since January 2008. The organization lists Jeff Taylor, Cfo, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1629255153
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST LUKES MEDICAL CENTER WOODRIVER
Location Address100 HOSPITAL DRIVEKetchum, ID 83340
Mailing AddressPo Box 640Boise, ID 83701-0640
Phone(208) 788-2222
Organization SubpartNo
Authorized OfficialJeff TaylorCfo, Vp Finance · (208) 381-2520
Enumeration DateJanuary 28, 2008
Last NPPES UpdateJune 22, 2016
✔ NPI 1629255153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · 62
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 62 (ID)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 62 (ID)
100 HOSPITAL DRIVE, Ketchum, ID 83340
Open in Google Maps ↗

Other Names 1

Doing Business AsSt Lukes Clinic Woodriver

Other Identifiers 1

Medicare PIN12578911ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBBIN WARNER
Physical Therapist
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 727-8253
PETER CURRAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 HOSPITAL DRIVE, SUITE 105
KETCHUM, ID 83340
Blaine County (208) 726-0124
DAN S FAIRMAN MD
Internal Medicine
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 727-8888
DAVID LAXSON M.D.
Internal Medicine (Cardiovascular Disease)
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 727-8710
ST LUKES MEDICAL CENTER WOODRIVER LTD
Home Health
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 788-2222
TRACEY L BUSBY M.D.
Family Medicine
100 HOSPITAL DRIVE, SUITE 105
KETCHUM, ID 83340
Blaine County (208) 622-8811
JULIA ANN WATSON NP
Nurse Practitioner (Women's Health)
100 HOSPITAL DRIVE, SUITE 105
KETCHUM, ID 83340
Blaine County (208) 622-8811
ST LUKE'S MEDICAL CENTER WOOD RIVER LTD
General Acute Care Hospital (Critical Access)
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 788-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Lukes Medical Center Woodriver's NPI number?

The NPI number for St Lukes Medical Center Woodriver is 1629255153. It was assigned to this organization in the NPPES registry on January 28, 2008. The provider is doing business as St Lukes Clinic Woodriver.

Where is St Lukes Medical Center Woodriver located?

St Lukes Medical Center Woodriver is located at 100 Hospital Drive, Ketchum, ID 83340. The listed phone number is (208) 788-2222.

What is St Lukes Medical Center Woodriver's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for St Lukes Medical Center Woodriver was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.