JASON NEALY D.O.
NPI 1245645589
Plastic Surgery in Boise, ID

Active since June 25, 2014
4305 N EAGLE RD, BOISE, ID 83713(208) 939-3110 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Nealy D.o. NPPES

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

JASON NEALY D.O. (NPI 1245645589) is an individual plastic surgery provider in Boise, Idaho, licensed in Washington (60961766) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1245645589
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameJASON NEALYCredential: D.O.
Location Address4305 N EAGLE RDBoise, ID 83713-4722
Mailing Address15320 Old Redmond RdRedmond, WA 98052-6837 · (970) 581-8761
Sole ProprietorNo
Enumeration DateJune 25, 2014
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
NPI 1245645589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in WA · 60961766
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License 60961766 (WA)
4305 N EAGLE RD, Boise, ID 83713

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.

Nurse Practitioner (Family)
4305 N EAGLE RD
BOISE, ID 83713
Physician Assistant
4305 N EAGLE RD
BOISE, ID 83713

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 Jason Nealy's NPI number?

The NPI number for Jason Nealy is 1245645589. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Jason Nealy located?

Jason Nealy practices at 4305 N Eagle Rd, Boise, ID 83713. The listed phone number is (208) 939-3110.

What is Jason Nealy's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Jason Nealy was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.