Jan Olof Dahlin, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Fruitland, ID
NPI 1306834643 · NPPES record last updated Jul 13, 2026
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 18, 2008.
Key facts
- NPI
- 1306834643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- M-6608 (ID)
- Practice address
- 1118 NW 16TH St
Suite C
Fruitland, ID 83619-2271 - Phone
- (208) 452-2510
- Fax
- (208) 452-2513
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-6608 | ID | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fruitland Orthopedic Clinic | Orthopaedic Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M-6608 | ID | Yes |
| Orthopaedic Surgery Physician | 207X00000X | MD13079 | OR |
Addresses
Primary practice location
1118 NW 16TH St
Suite C
Fruitland, ID 83619-2271
Mailing address
1118 NW 16TH St
Suite C
Fruitland, ID 83619-2271
Phone (208) 452-2510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266148 | Medicaid | OR |
Other providers in Fruitland, ID
- Irene A Connell
- CT Derm PC
- Bonnie Curren
- Current Physical Therapy LLC
- Cassie Dahle
- Ciera Daley
- Kyle Daron
- Abby Lynn Davis
- Brandon Scott Denney
- Michelle F Devoe
All providers in Fruitland, ID · Orthopaedic Surgery Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.