NPIMap

Individual provider Active NPI

Jordan V Blanchard, M.D.

  • Family Medicine Physician
  • Weiser, ID
National Provider Identifier
1356630941
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M12439 Issued in ID
Practice address
360 E Liberty St Ste B
Weiser, ID 83672-2261
Phone
(208) 549-4424
Fax
(208) 441-0482
NPI assigned
Apr 4, 2011
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M12439 ID Primary

Addresses

Primary practice location

360 E Liberty St Ste B
Weiser, ID 83672-2261

Mailing address

645 E 5TH St
Weiser, ID 83672-2202
Phone (208) 414-1124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103002412 ID Practitioner - Family Practice 2365691870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams County Health Center IncGroup PAC ID 1557453446, 7 clinicians
Weiser Valley Hospital DistrictGroup PAC ID 5294704276, shared by 4 NPIs, 60 clinicians

Practice addresses (Care Compare)

205 N Berkley St
Council, ID 83612-5015
Phone (208) 253-4242

360 E Liberty St
Weiser, ID 83672-2261

645 E 5TH St
Weiser, ID 83672-2202
Phone (208) 549-3152

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M12439IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Health Center Inc CurrentSince Nov 17, 2017 Accepting new patients
Weiser Valley Hospital District CurrentSince Jul 28, 2025 Accepting new patients
Weiser Valley Hospital District Past Accepting new patients

Locations

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

Organizations & group practices 4

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

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1356630941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E 5TH ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722202",
            "telephone_number": "208-414-1124",
            "fax_number": "208-414-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E LIBERTY ST STE B",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722261",
            "telephone_number": "208-549-4424",
            "fax_number": "208-441-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "JORDAN",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M12439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weiser, ID

Sources for this page

Verify at the official NPI Registry.