JASON NEALY (NPI# 1245645589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245645589 |
| Entity Type | Individual |
| Full Name | JASON NEALY |
| Credential | D.O. |
| Practice Address |
4305 N Eagle Rd Boise ID 83713-4722 |
| Mailing Address |
15320 Old Redmond Rd Redmond WA 98052-6837 |
| Practice Telephone | 2089393110 |
| Mailing Telephone | 9705818761 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 60961766 | WA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 60961766 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
4305 N EAGLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992040992 | Autumn Heuman | Physician Assistant | 4305 N Eagle Rd, Boise, ID 83713-4722 | 2012-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184899973 | Russell H Griffiths Md Pa | Plastic Surgery | 100 E Idaho St Ste 303, Boise, ID 83712-6269 | 2008-04-23 |
| 1841307147 | Thomas D Mckim | Plastic Surgery | 900 N Liberty St Ste 300, Boise, ID 83704-8729 | 2006-08-23 |
| 1487958161 | Susan J. Hegstad, M.d., Pa | Plastic Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2011-01-10 |
| 1003125758 | Jordan E Miller | Plastic Surgery | 777 N Raymond St, Boise, ID 83704-9251 | 2010-09-29 |
| 1689860736 | Dean Sorensen | Plastic Surgery | 250 Bobwhite Ct, 275, Boise, ID 83706-6643 | 2007-09-22 |
| 1306870761 | Sumiko Joan Hegstad | Plastic Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2006-07-10 |
| 1811943285 | Dinu Mistry Wolf | Plastic Surgery | 341 E Bannock St, Boise, ID 83712-6208 | 2006-05-26 |
| 1134181621 | Jonathan D Kramer | Plastic Surgery | 100 E Idaho St, Suite 301, Boise, ID 83712-6267 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902228737 | Mark E Freeman M.d. PC | Plastic Surgery | 3760 Washington Parkway, Idaho Falls, ID 83404 | 2014-01-14 |
| 1467704049 | Bruce Alan Kaplan | Plastic Surgery | 190 Bigwood Drive South, Ketchum, ID 83340 | 2012-10-08 |
| 1043578115 | David Lyons Dingman | Plastic Surgery | 10 Lone Pine Rd, Hailey, ID 83333-5172 | 2012-04-26 |
| 1730450016 | Michael Gregory Pugsley-christensen | Plastic Surgery | 4790 Inverness Drive, Post Falls, ID 83854 | 2012-01-19 |
| 1770589814 | Dell P Smith | Plastic Surgery | 1880 Fillmore St, Twin Falls, ID 83301-3049 | 2005-06-23 |
| 1245779412 | Bmh, Inc. | Plastic Surgery | 285 Vista Dr, Ste. E, Pocatello, ID 83201-4987 | 2017-02-21 |
| 1831534924 | Mark E Freeman Md PC | Plastic Surgery | 3760 Washington Pkwy, Idaho Falls, ID 83404-7593 | 2013-05-03 |
| 1023267895 | East Falls Plastic Surgery LLC | Plastic Surgery | 2860 Channing Way, Suite 114a, Idaho Falls, ID 83404-7531 | 2008-09-16 |
| 1447368758 | William P.d. Wilson IIi | Plastic Surgery | 2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 | 2006-08-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.