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

Active since December 21, 2010CLIA 13D0674117 · Microscopy
1620 S KIMBALL AVE, CALDWELL, ID 83605(208) 454-9181 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St Lukes Clinic - Caldwell Urology NPPES

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

ST LUKES CLINIC - CALDWELL UROLOGY (NPI 1952604563) is a healthcare organization registered as an urology in Caldwell, Idaho and active in the NPI registry since December 2010. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Jeff Taylor, System Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1952604563
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameST LUKES REGIONAL MEDICAL CENTER
Location Address1620 S KIMBALL AVECaldwell, ID 83605-4547
Mailing Address1620 S Kimball AveCaldwell, ID 83605-4547 · (208) 454-9181
Organization SubpartYes
Authorized OfficialJeff TaylorSystem Vp Cfo · (208) 381-2520
Enumeration DateDecember 21, 2010
NPI 1952604563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in ID · 03
Definition

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.

1620 S KIMBALL AVE, Caldwell, ID 83605

Other Names 1

Doing Business AsSt Lukes Clinic - Caldwell Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

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.