JEREMY H. CONKLIN DO – NPI #1700830882
Surgery

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Surgery

JEREMY CONKLIN is a surgeon located in BOISE, ID. NPPES has assigned the NPI number 1700830882 to JEREMY CONKLIN on May 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0102X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Critical Care

The NPI profile was previously updated about 2 years ago on Mar 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEREMY CONKLIN below.

NPI Profile for
JEREMY H. CONKLIN

NPI Number
1700830882
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEREMY H. CONKLIN
Credentials
DO
Primary location
999 N CURTIS RD STE 415
BOISE, ID 83706-1334
Phone: (208) 302-2600 Fax: (208) 302-2625
2 Other location(s):
1010 Three Springs Blvd
Durango, CO 81301-8296
Phone: (970) 764-2750
Fax: (970) 764-2778
747 Broadway
Seattle, WA 98122-4379
Phone: (206) 215-2520
Fax: (206) 215-6364
Mailing address
747 BROADWAY
SEATTLE, WA 98122-4307
Phone: (206) 215-2520 Fax: (206) 215-6364
Sole Proprietor
No
Updated
Certification Date
Mar 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEREMY CONKLIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWA1700830882
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0102X
- Surgery / Surgical Critical Care (Primary)		 WA OP60816242
364SC0200X
- Clinical Nurse Specialist / Critical Care Medicine		 CO CDR.0002122

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE - Graduated 2005
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEREMY CONKLIN is affiliated with the following medical group(s):
  • HOSPITAL
    • MERCY REGIONAL MEDICAL CENTER
      1010 THREE SPRINGS BLVD
      DURANGO, CO 81301
    • WESLEY MEDICAL CENTER
      550 N HILLSIDE STREET
      WICHITA, KS 67214

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.