Jon L Hlavinka, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M6008 Issued in ID

Practice address

300 E Bannock St
Boise, ID 83712-6207

Phone

(208) 342-7400

Fax

(208) 342-7400

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Dakota School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walter Knox Memorial HospitalGroup PAC ID 7012907785, 21 clinicians

Weiser Valley Hospital DistrictGroup PAC ID 5294704276, shared by 4 NPIs, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valor Health Hospital, Emmett, ID, CCN 131318
• Weiser Memorial Hospital Hospital, Weiser, ID, CCN 131307
• St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
• FHIR API: https://fhir4.healow.com/fhir/r4/ADHBAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walter Knox Memorial Hospital

  • Critical Access Hospital
  • Emmett, ID
  • NPI 1063419018
  Medicare reassignment Care Compare group NPD
• Saltzer Medical Group, PA

  • Family Medicine Physician
  • Nampa, ID
  • NPI 1376574442
  NPD
• Walter Knox Memorial Hospital

  • Specialist
  • Emmett, ID
  • NPI 1326206947
  NPD
• Walter Knox Memorial Hospital

  • Family Medicine Physician
  • Emmett, ID
  • NPI 1861284721
  NPD
• Center for Lifetime Health

  • Family Medicine Physician
  • Boise, ID
  • NPI 1689744963
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Lukes Regional Medical Center

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation
• Walter Knox Memorial Hospital

  • Critical Access Hospital
  • Emmett, ID
  • NPI 1063419018
  Care Compare affiliation
• Walter Knox Memorial Hospital

  • Specialist
  • Emmett, ID
  • NPI 1326206947

  Hospital

  Care Compare affiliation
• Walter Knox Memorial Hospital

  • Family Medicine Physician
  • Emmett, ID
  • NPI 1861284721

  Hospital

  Care Compare affiliation
• Weiser Valley Hospital District

  • Critical Access Hospital
  • Weiser, ID
  • NPI 1881641629
  Care Compare affiliation
• Weiser Valley Hospital District

  • Specialist
  • Weiser, ID
  • NPI 1932650561

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1194715136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126207",
            "telephone_number": "208-342-7400",
            "fax_number": "208-342-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126207",
            "telephone_number": "208-342-7400",
            "fax_number": "208-342-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5865 W Hidden Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837149464",
            "country_code": "US",
            "telephone_number": "208-342-7400",
            "fax_number": "208-342-1879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HLAVINKA",
        "first_name": "JON",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M6008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002364500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "105443",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010004642",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY CONNECTIONS",
            "identifier": "806359300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Hitch, DDS
• Alesia J. Hitchcock, M.S.
• Jonathan David Hite, LPC
• Bethany Lynn Hitman
• Alison Marissa Hixon, MD, PHD
• Frederick Edward Hoadley, D. MIN.
• Jennifer E Hoaglun, DPT, ATC
• Van Ngoc Hoang, MD
• Allison Hobby, LPC
• Madison Jean Hobdy, LMSW

• Family Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.