DR. JEREMY DAVID WALDRAM (NPI# 1396972311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396972311 |
| Entity Type | Individual |
| Full Name | DR. JEREMY DAVID WALDRAM |
| Credential | M.D. |
| Practice Address |
1000 N Curtis Rd Ste 303 Boise ID 83706-1347 |
| Practice Telephone | 2083774000 |
| Mailing Telephone | 2083774000 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | M-15024 | ID | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 01069478A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 921345000 | 6192160466 |
| Street Address |
1000 N CURTIS RD STE 303 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569149 | Michael V Keiley | Allergy & Immunology | 901 N Curtis Rd, Ste 100, Boise, ID 83706-1394 | 2005-09-21 |
| 1215061734 | Boise Valley Asthma & Allergy Pa | Allergy & Immunology | 901 N Curtis Rd, Suite 100, Boise, ID 83706-1394 | 2007-03-15 |
| 1316979974 | Allergy Group PC | Allergy & Immunology | 1000 N Curtis Rd, Ste 303, Boise, ID 83706 | 2006-07-06 |
| 1417943622 | John D Jeppson | Allergy & Immunology | 901 N Curtis Rd, Suite 100, Boise, ID 83706-1394 | 2005-09-22 |
| 1033105259 | George William Palmer | Allergy & Immunology | 901 N Curtis Rd, Ste 100, Boise, ID 83706-1394 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003949298 | Idaho Allergy & Asthma Clinic Pa | Allergy & Immunology | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2007-03-14 |
| 1457312308 | Wendell E Petty | Allergy & Immunology | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2006-03-30 |
| 1972578672 | Gregory Mathew Wickern | Allergy & Immunology | 800 Falls Ave, Suite #2, Twin Falls, ID 83301-3366 | 2006-02-17 |
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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.