ST LUKES CLINIC - CALDWELL UROLOGY
NPI 1952604563
Urology in Caldwell, ID

NPI Status: Active since December 21, 2010

Contact Information

1620 S KIMBALL AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 454-9181

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  • Organization
  • Urology
  • CLIA Number: 13D0674117
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-31-2026

About ST LUKES CLINIC - CALDWELL UROLOGY

This page provides the complete NPI Profile along with additional information for St Lukes Clinic - Caldwell Urology, a provider established in Caldwell, Idaho operating as a Urology. The healthcare provider is registered in the NPI registry with number 1952604563 assigned on December 2010. The practitioner's primary taxonomy code is 208800000X with license number 03 (ID). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as St Lukes Clinic - Caldwell Urology. The authorized official of this NPI record is Jeff Taylor (System Vp Cfo)

NPI
1952604563
Provider Legal Name
ST LUKES REGIONAL MEDICAL CENTER
Other Organization Name
ST LUKES CLINIC - CALDWELL UROLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1620 S KIMBALL AVE CALDWELL, ID 83605
Location Phone
(208) 454-9181
Mailing Address
1620 S KIMBALL AVE CALDWELL, ID 83605
Mailing Phone
(208) 454-9181
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-21-2010
Last Update Date
12-21-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
03
License State
ID
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFF TAYLOR

Authorized Official Title
SYSTEM VP CFO
Authorized Official Phone
(208) 381-2520

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D0674117
Facility Type
Community Clinic
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
GREGORY T. ADAMS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to St Lukes Clinic - Caldwell Urology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1952604563, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 0 + 2 + 1 + 2 + 0 + 8 + 5 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1952604563.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Nurse Practitioner (Pediatrics)
1620 S KIMBALL AVE
CALDWELL, ID 83605
Specialist
1620 S KIMBALL AVE
CALDWELL, ID 83605
Pediatrics
1620 S KIMBALL AVE
CALDWELL, ID 83605
Nurse Practitioner (Pediatrics)
1620 S KIMBALL AVE
CALDWELL, ID 83605
Marriage & Family Therapist
1620 S KIMBALL AVE
CALDWELL, ID 83605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952604563, enumerated as an "organization" on December 21, 2010.

The provider is located at 1620 S KIMBALL AVE CALDWELL, ID 83605 and the phone number is (208) 454-9181.

Urology with taxonomy code 208800000X.