JEFF CONLON (NPI# 1174068282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174068282 |
Entity Type | Individual |
Full Name | JEFF CONLON |
Practice Address |
12290 W Gregory Dr Boise ID 83709-6523 |
Practice Telephone | 2085980080 |
Mailing Telephone | 2085980080 |
Enumeration Date | 2016-12-28 |
Last Update Date | 2016-12-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861716003 | Jeff Conlon | Massage Therapist | 3541 Edgewater Dr, Orlando, FL 32804-2942 | 2010-03-17 |
Street Address |
12290 W GREGORY DR |
City | BOISE |
State | ID |
Zip Code | 83709-6523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083249783 | Cameron Conlon | Technician/Technologist | 12290 W Gregory Dr, Boise, ID 83709-6523 | 2020-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
Find all providers in zip 83709 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609240233 | Brien Pittman | Specialist/Technologist, Other | 784 S Clearwater Loop, Post Falls, ID 83854-9599 | 2015-11-19 |
1508232604 | Patricia Ann Wilson | Specialist/Technologist, Other | 1019 Sagewood Pl, Pocatello, ID 83201-2729 | 2015-08-12 |
1932585627 | Shawn Satterthwaite | Specialist/Technologist, Other | 215 Spruce St, Shelley, ID 83274-1441 | 2015-08-04 |
1306243621 | Richard Bishop | Specialist/Technologist, Other | 13748 S Morningside St, Nampa, ID 83651-5091 | 2014-12-02 |
1841547395 | Intra-operative Monitoring Innovations | Specialist/Technologist, Other | 1376 Fillmore Street Pmb 5757, Twin Falls, ID 83303-5757 | 2012-08-14 |
1336475516 | Intermountain Neurodiagnostics Inc | Specialist/Technologist, Other | 4596 Mccowin Ln, Idaho Falls, ID 83406-8350 | 2009-10-23 |
1063958643 | Wendy Hunter | Specialist/Technologist, Other | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2017-01-06 |
1346304409 | Dottie Peck | Specialist/Technologist, Other | 1361 Cambridge Dr, Idaho Falls, ID 83401-4208 | 2006-12-21 |
Please comment or provide details below to improve the information on JEFF CONLON.
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.