Jonathon C Wolf MD PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

JONATHON C WOLF MD PLLC

Doing business as

Treasure Valley Orthopedics

Practice address

875 S Vanguard Way Ste 200B
Meridian, ID 83642-8540

Phone

(208) 563-0001

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Jonathon Wolf, MDNPI 1245483031

Title

Owner

Phone

(208) 563-0001

Specialties & licenses 1

Addresses

Other names 1

• Treasure Valley Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathon Curtis Wolf, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Meridian, ID
  • NPI 1245483031

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Emily Jeanne Trantham, PA-C

  • Physician Assistant
  • Meridian, ID
  • NPI 1487388260
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1174377386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S VANGUARD WAY STE 200B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428540",
            "telephone_number": "208-563-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S VANGUARD WAY STE 200B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428540",
            "telephone_number": "208-563-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHON C WOLF MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-563-0001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Valley Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamera Jean Johnson
• Taylor Johnson, PT, DPT
• Callysta Johnston, PA-C
• Joint School District No. 2
• Kristina Jonas
• Jones Foot & Ankle LLC
• Charity Angelique Jones-Berube
• Ashley Marie Jones
• Christopher James Jones, DMD, MS, FACP
• Erin Jones, PA

• Orthopaedic Surgery Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.