Individual provider Active NPI

Craig R Jamison, PAC

  • Orthopaedic Surgery Physician
  • Caldwell, ID
National Provider Identifier
1447248141
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
PA323 Issued in ID
Practice address
206 E Elm St
Caldwell, ID 83605-4815
Phone
(208) 459-4511
Fax
(208) 459-4511
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X PA323 ID Primary

Addresses

Primary practice location

206 E Elm St
Caldwell, ID 83605-4815

Mailing address

206 E Elm St
Caldwell, ID 83605-4815
Phone (208) 459-4511

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000254 ID Practitioner - Physician Assistant 2466344031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackrock Orthopedic Specialists LLCGroup PAC ID 1759761224, 3 clinicians

Practice addresses (Care Compare)

2960 E St Lukes St
Suite 200
Meridian, ID 83642-3506
Phone (208) 900-5633

6357 N Fox Run Way
Meridian, ID 83646-6791
Phone (208) 900-5633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA323IDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Petrie White Family Medicine of Idaho PastSince Oct 21, 2015 Accepting new patients
Mednow, Inc PastSince Nov 30, 2006 Accepting new patients
Richard Lochhead MD PLLC PastSince Jul 1, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: craig.jamison@1488.chartlogic.direct-ci.com

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 2

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447248141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E ELM ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054815",
            "telephone_number": "208-459-4511",
            "fax_number": "208-459-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E ELM ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054815",
            "telephone_number": "208-459-4511",
            "fax_number": "208-459-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "CRAIG",
        "middle_name": "R",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "PA323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.