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JARRELL PLASTIC SURGERY
NPI 1477195931
Surgery - Plastic and Reconstructive Surgery in Meridian, ID

Active since October 16, 2019
3090 E GENTRY WAY STE 210, MERIDIAN, ID 83642(208) 810-2245(208) 947-3465 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 24, 2020, Oct 16, 2019 (2 updates tracked since 2019).

About Jarrell Plastic Surgery NPPES

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

JARRELL PLASTIC SURGERY (NPI 1477195931) is a healthcare organization registered as a plastic and reconstructive surgery in Meridian, Idaho and active in the NPI registry since October 2019. The organization lists John A Jarrell, Member, as its authorized official.

NPPES Registry Identity

NPI1477195931
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameJARRELL PLASTIC SURGERY
Location Address3090 E GENTRY WAY STE 210Meridian, ID 83642-3550
Mailing AddressPo Box 4885Boise, ID 83711-4885 · (208) 810-2245 · Fax (208) 947-3465
Phone(208) 810-2245
Fax(208) 947-3465
Organization SubpartNo
Authorized OfficialJohn A JarrellMember · (208) 810-2245
Enumeration DateOctober 16, 2019
Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
✔ NPI 1477195931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3090 E GENTRY WAY STE 210, Meridian, ID 83642
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

TABLE ROCK MOBILE MEDICINE PLLC
Nurse Practitioner (Family)
3090 E GENTRY WAY STE 210
MERIDIAN, ID 83642
Ada County (986) 224-8420
MR. BRADLEY ALEXANDER BIGFORD NP-C
Nurse Practitioner (Family)
3090 E GENTRY WAY STE 210
MERIDIAN, ID 83642
Ada County (986) 224-8280

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 Jarrell Plastic Surgery's NPI number?

The NPI number for Jarrell Plastic Surgery is 1477195931. It was assigned to this organization in the NPPES registry on October 16, 2019.

Where is Jarrell Plastic Surgery located?

Jarrell Plastic Surgery is located at 3090 E Gentry Way Ste 210, Meridian, ID 83642. The listed phone number is (208) 810-2245.

What is Jarrell Plastic Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Jarrell Plastic Surgery was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.