JARED P TADJE (NPI# 1821006289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821006289 |
| Entity Type | Individual |
| Full Name | JARED P TADJE |
| Credential | MD |
| Practice Address |
2365 E Gala St Ste 1 Meridian ID 83642 |
| Mailing Address |
2365 E Gala St Ste 1 Meridian ID 83642-4881 |
| Practice Telephone | 2085152654 |
| Practice Fax Number | 8775873112 |
| Mailing Telephone | 2085152654 |
| Mailing Fax Number | 8775873112 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | M9901 | ID | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 11808 | NV | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | A95193 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | 76938 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2365 E Gala St Ste 1, Meridian, ID 83642 | 2085152654 | 8775873112 |
| 520 S Eagle Rd, Suite 1201, Meridian, ID 836426351 | 2087065988 | 8775873112 |
| Street Address |
2365 E GALA ST STE 1 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747120 | Mikayla Lynn Taugher | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642-4881 | 2020-10-13 |
| 1265903736 | Poole Joint Replacement Specialists | Clinic/Center | 2365 E Gala St Ste 1, Meridian, ID 83642-4881 | 2018-12-10 |
| 1356719108 | Tadje Orthopaedics, LLC | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642 | 2015-09-10 |
| 1174896419 | Virginia R Jeppesen | Nurse Practitioner | 2365 E Gala St Ste 1, Meridian, ID 83642 | 2012-02-16 |
| 1205020914 | Troy Alan Smith | Dentist | 2365 E Gala St Ste 1, Meridian, ID 83642-4881 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679909774 | Irvin L. Martin IIi Md Pllc | Orthopaedic Surgery | 1800 12th St Ste 1e, Meridian, MS 39301-4158 | 2013-09-20 |
| 1275578908 | Edwin Merle Clark | Orthopaedic Surgery | 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 | 2006-06-17 |
| 1720027311 | Kyle L Palmer | Orthopaedic Surgery | 3875 East Overland Road, Meridian, ID 83642 | 2006-06-06 |
| 1871589994 | John William Cope | Orthopaedic Surgery | 8310 Eagle Pointe Dr, Meridian, MS 39305-9185 | 2005-09-23 |
| 1730182007 | Harry Durgin | Orthopaedic Surgery | 2024 15th St, Ste 4n, Meridian, MS 39301-4130 | 2005-05-31 |
| 1336747120 | Mikayla Lynn Taugher | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642-4881 | 2020-10-13 |
| 1245778208 | Direct Orthopedic Care LLC | Orthopaedic Surgery | 3015 E Magic View Dr, Ste 115, Meridian, ID 83642-3757 | 2017-02-09 |
| 1760840987 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 3015 E Magic View Dr, Suite 120, Meridian, ID 83642-3743 | 2016-02-02 |
| 1356719108 | Tadje Orthopaedics, LLC | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642 | 2015-09-10 |
| 1497199020 | Edward Lee Smith | Orthopaedic Surgery | 1800 12th St, Meridian, MS 39301-4158 | 2013-04-25 |
| Find all providers in MERIDIAN | ||||
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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.