Jeff Conlon

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

12290 W Gregory Dr
Boise, ID 83709-6523

Phone

(208) 598-0080

NPI assigned

Dec 28, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1174068282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12290 W GREGORY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096523",
            "telephone_number": "208-598-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12290 W GREGORY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096523",
            "telephone_number": "208-598-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLON",
        "first_name": "JEFF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Conklin, PT
• Shelly S Conley-Durkin, LCSW
• Samantha A Conley, FNP
• Cheryl Ann Conlin, PA-C
• Cameron Conlon
• Duston Francis Connaughton, DDS
• Justin Michael Connelly
• Kabrya A Conner
• Savannah Lynn Conner
• Kristen Connolly, LPC

• Electroneurodiagnostic Specialist/Technologist in Boise, ID
• Providers in Boise, ID by specialty
• Electroneurodiagnostic Specialist/Technologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.