DR. JAY T. BALLHAGEN M.D.
NPI 1356589931
Specialist in Boise, ID

Active since February 04, 2009
10500 W WATERWAY CT, BOISE, ID 83714(208) 853-5556 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jay T. Ballhagen M.d. NPPES

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

DR. JAY T. BALLHAGEN M.D. (NPI 1356589931) is an individual specialist in Boise, Idaho, licensed in Montana (3414) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1356589931
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JAY T. BALLHAGENCredential: M.D.
Location Address10500 W WATERWAY CTBoise, ID 83714-3616
Mailing Address10500 W Waterway CtBoise, ID 83714-3616 · (208) 853-5556
Sole ProprietorYes
Enumeration DateFebruary 4, 2009
NPI 1356589931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MT · 3414
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10500 W WATERWAY CT, Boise, ID 83714

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 Jay Ballhagen's NPI number?

The NPI number for Jay Ballhagen is 1356589931. It was assigned to this individual provider in the NPPES registry on February 4, 2009.

Where is Jay Ballhagen located?

Jay Ballhagen practices at 10500 W Waterway Ct, Boise, ID 83714. The listed phone number is (208) 853-5556.

What is Jay Ballhagen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jay Ballhagen was last updated on February 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.