P Praxis·MD
● Active Type 1 · Individual

Jack C Chaffin JR., MD

Pathology·Boise, ID· NPI 1104867662 · Enumerated 2006 · 19 years on NPI
Chaffin is 1 of 20 pathology providers in Boise and 1 of 44 in Idaho.
NPI age
19 years
Enumerated 2006-06-08
Primary specialty
Pathology
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 44 active pathology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
1055 N Curtis Rd
Boise, ID 837061309
📞 2083672152
Mailing address
Po Box 9589
Boise, ID 837074589
📞 2084728109fax 2084728172

Specialties

  • Pathology Primary
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    ID license #M8872 taxonomy 207ZP0102X
  • Pathology
    A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the...
    ID license #M8872 taxonomy 207ZC0500X

Identifiers

TypeValueNotes
05 (ID) 806728500

Practice context

Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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