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DR. JEREMY DAVID WALDRAM M.D. NPI 1396972311


NPI Information

NPI: 1396972311
Provider Name: DR. JEREMY DAVID WALDRAM, M.D.
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1000 N CURTIS RD STE 303
BOISE, ID
ZIP 83706
Phone: (208) 377-4000
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DR. Jeremy David Waldram, M.D. is an allergy immunology in Boise, ID with 15 years of experience. The provider is 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. DR. Jeremy David Waldram, M.D. NPI is 1396972311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

1000 N CURTIS RD STE 303
BOISE, ID
ZIP 83706-347
Phone: (208) 377-4000

The NPI 1396972311 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)

The enumeration date for this NPI number is 6/17/2009 and was last updated on 10/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyM-15024IDAHOYes
2207R00000XInternal Medicine01069478AINDIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.