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DR. JON PARKER WAGNILD MD
NPI 1164459541
Internal Medicine - Nephrology in Boise, ID

Active since June 28, 2006
5610 GAGE ST, SUITE A, BOISE, ID 83706(208) 367-3370 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jon Parker Wagnild Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON PARKER WAGNILD MD (NPI 1164459541) is an individual nephrology provider in Boise, Idaho, licensed in Idaho (M4213) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1164459541
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JON PARKER WAGNILDCredential: MD
Location Address5610 GAGE ST, SUITE ABoise, ID 83706-1349
Mailing Address984 W Bogus View CtEagle, ID 83616-5878
Phone(208) 367-3370
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164459541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in ID · M4213
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
5610 GAGE ST, Boise, ID 83706
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Other Identifiers 1

Medicare UPINB63460ID

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IDAHO NEPHROLOGY ASSOCIATES, L.L.C
Internal Medicine (Nephrology)
5610 GAGE ST, SUITE A
BOISE, ID 83706
Ada County (208) 367-3370
SAINT ALPHONSUS NEPHROLOGY CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5610 GAGE ST
BOISE, ID 83706
Ada County (208) 367-3076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Wagnild's NPI number?

The NPI number for Jon Wagnild is 1164459541. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Jon Wagnild located?

Jon Wagnild practices at 5610 Gage St Suite A, Boise, ID 83706. The listed phone number is (208) 367-3370.

What is Jon Wagnild's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Jon Wagnild was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.