DR. JAY T. BALLHAGEN


Address: 10500 W Waterway Ct, Boise, ID 83714-3616
Phone: 2088535556

DR. JAY T. BALLHAGEN (NPI# 1356589931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356589931
Entity Type Individual
Full Name DR. JAY T. BALLHAGEN
Credential M.D.
Practice Address 10500 W Waterway Ct
Boise
ID 83714-3616
Practice Telephone 2088535556
Mailing Telephone 2088535556
Enumeration Date 2009-02-04
Last Update Date 2009-02-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 3414 MT Other Service Providers

Office Location

Street Address 10500 W WATERWAY CT
City BOISE
State ID
Zip Code 83714-3616

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1841646007 Alliance Medical Group, LLC Family Medicine 5601 W. Chinden Blvd., Garden City, ID 83714 2016-05-06
1134580467 Rebecca Gillet Physical Therapist 6576 W Dufferin Ct, Boise, ID 83714 2016-03-15
1063816007 Ingri Suzanne Koloski Counselor 8969 West Hepburn Lane, Garden City, ID 83714 2014-10-20
1679909329 Anile Nina Counselor 5484 N Gary Lane, Boise, ID 83714 2013-09-25
1215360292 William Blake Bybee Dentist 5833 W. Hidden Springs Dr., Boise, ID 83714 2013-08-14
1871833327 Charmaine Read Social Worker 123 E. 44th St, Ste. A, Garden City, ID 83714 2013-02-20
1811206576 Bennett Medical Services Durable Medical Equipment & Medical Supplies 5220 Sawyer Court, Suite D, Garden City, ID 83714 2010-09-29
1073780680 Barry Lynn Williams Pharmacist 7020 W State Street, Boise, ID 83714 2008-05-13
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851855803 Lauren Rybarczyk Specialist 11498 W Carmichael Dr, Boise, ID 83709-7382 2019-01-24
1851834311 Tegan Shuman Specialist 7307 W San Fernando Dr, Boise, ID 83704-5953 2016-11-30
1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1093119042 Robert Porter II Specialist 1346 E Candleridge Dr, Boise, ID 83712-6504 2014-10-20
1760885073 Kelcee Keyes Specialist 1705 N Cole Rd, Boise, ID 83704-7304 2014-09-30
1386053213 Keita Shimada Specialist 1910 University Dr # Ms 1020, Boise, ID 83725-0001 2014-08-05
1316373186 Ralph V Nishitani Specialist 9317 W Pandion Ct, Boise, ID 83714-6715 2013-09-24
1548608094 James Doyce Strong Jr. Specialist 3675 S Pimmit Ave, Boise, ID 83706-6416 2013-06-06
1649409269 Iris Ginron Baker Specialist 3555 N Cole Rd, 105, Boise, ID 83704-0733 2009-07-02
1629228184 Jeannette Elizabeth Flood Specialist 1818 W. State St, First Step for Women, Boise, ID 83702 2008-09-22
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Competitor

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City BOISE
Zip Code 83714

Improve Information

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Dataset Information

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.

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