Megan D Larson
ST LUKES CLINIC-TREASURE VALLEY LLC


Address: 287 W Jefferson St, Boise, ID 83702-6045
Phone: 2083437940

Megan D Larson (NPI# 1861935660, PAC ID# 8022394196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1861935660
PAC ID by PECOS 8022394196
Professional Enrollment ID I20170405000050
Full Name Megan D Larson
Organization Legal Name ST LUKES CLINIC-TREASURE VALLEY LLC
Address 287 W Jefferson St
Boise
ID 83702-6045
Phone Number 2083437940
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4981878402
Number of Group Practice Members 770
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130006 ST LUKE'S REGIONAL MEDICAL CENTER
130002 ST LUKES MAGIC VALLEY MEDICAL CENTER
130071 ST LUKE'S NAMPA MEDICAL CENTER
131311 ST LUKE'S ELMORE MEDICAL CENTER

Other Locations

Address Phone Organization
287 W Jefferson St, Boise, ID 83702-6045 2083437940 ST LUKES CLINIC-TREASURE VALLEY LLC

Organization Information

Organization Legal Name ST LUKES CLINIC-TREASURE VALLEY LLC
Physicians 831

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Name Specialty Organization Address
Eric Scholten Pulmonary Disease St Lukes Clinic-treasure Valley LLC 1210 Nw 16th St, Fruitland, ID 83619-2202
Tracye J Lawyer Orthopedic Surgery St Lukes Clinic-treasure Valley LLC 9850 St Lukes Dr, Suite 215, Nampa, ID 83687-7912
Alex Mari Tanabe Internal Medicine St Lukes Clinic-treasure Valley LLC 600 N Robbins Rd, Boise, ID 83702-4565
Jessica J Carpenter Clinical Social Worker St Lukes Clinic-treasure Valley LLC 1620 S Kimball Ave, Caldwell, ID 83605-4547
Whitney B Conrad Nurse Practitioner St Lukes Clinic-treasure Valley LLC 1226 W River St, Boise, ID 83702-7049
Bonnie M Reed Family Medicine St Lukes Clinic-treasure Valley LLC 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550
Scott J Chyna Clinical Social Worker St Lukes Clinic-treasure Valley LLC 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976
Sarah J Mooseau Qualified Audiologist St Lukes Clinic-treasure Valley LLC 510 N 2nd St, Suite 201, Boise, ID 83702-6078
Nitya Alluri Hematology St Lukes Clinic-treasure Valley LLC 100 E Idaho St, Suite 302, Boise, ID 83712-6269
Edward A Duckworth Neurosurgery St Lukes Clinic-treasure Valley LLC 608 W Hays St, Boise, ID 83702-5511

Office Location

Street Address 287 W JEFFERSON ST
City BOISE
State ID
Zip 83702-6045

Physicians in the same zip code

Name Specialty Organization Address
Kim Kutzner Physical Therapy Physical Therapy At Thrive, LLC 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024
Stacey L Scanlan Physical Therapy Physical Therapy At Thrive, LLC 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024
Jody Alison Thatcher Bullard Physical Therapy Physical Therapy At Thrive, LLC 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024
Ali Lubbers Physical Therapy Physical Therapy At Thrive, LLC 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024
David A Teed Clinical Social Worker 1407 N 13th St, Boise, ID 83702-3531
Martha Ann Stacy Psychologist, Clinical 1718 W Jefferson St, Boise, ID 83702-3949
Renee Ours Bild Clinical Social Worker 1718 W Jefferson St, Boise, ID 83702-3949
Amber L Simonson Optometry Ada Vision Center Pa 1926 W State St, Boise, ID 83702-3957
Todd Anthony Noble Optometry Ada Vision Center Pa 1926 W State St, Boise, ID 83702-3957
Lauren M Huber Optometry Ada Vision Center Pa 1926 W State St, Boise, ID 83702-3957
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Competitor

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City BOISE
Zip Code 83702
Specialty NURSE PRACTITIONER
City + Specialty BOISE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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