JONATHAN ROBERT JERKINS (NPI# 1972914406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972914406 |
| Entity Type | Individual |
| Full Name | JONATHAN ROBERT JERKINS |
| Credential | MD |
| Practice Address |
700 W Ironwood Dr Ste 155 Coeur D Alene ID 83814-4462 |
| Mailing Address |
700 W. Ironwood Drive Suite 155 Coeur D'alene ID 83814-4462 |
| Practice Telephone | 2086670585 |
| Mailing Telephone | 2086670585 |
| Mailing Fax Number | 2086670876 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 55030 | TN | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | M-13708 | ID | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Tn 910 Madison Ave, Suite 1031, Memphis, TN 381630001 | 9012876756 |
| Street Address |
700 W IRONWOOD DR STE 155 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552008 | Jean Marie Prince | Pediatrics | 980 W Ironwood Dr, Ste 302, Coeur D Alene, ID 83814-2604 | 2005-07-15 |
| 1598007668 | Lisa Nicole Odom | Pediatrics | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2013-03-26 |
| 1417270158 | Christy L Riley | Pediatrics | 980 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814-2668 | 2010-03-09 |
| 1649450461 | Jamie E Price | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2007-11-08 |
| 1255496980 | Coeur D'alene Pediatrics Pa | Pediatrics | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2006-12-22 |
| 1376554188 | Cheri Kathleen Savage | Pediatrics | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2006-08-10 |
| 1013927979 | Thomas R Rau | Pediatrics | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2006-08-09 |
| 1316957202 | Mary Jo Shaw | Pediatrics | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2006-08-09 |
| 1609886514 | Duane Eldon Craddock | Pediatrics | 700 W Ironwood Dr, Ste 155, Coeur D Alene, ID 83814-2656 | 2006-08-09 |
| 1336150267 | Beth Ann Martin | Pediatrics | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2006-08-09 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.