NPI age
17 years
Enumerated 2009-02-04
● Active
Type 1 · Individual
DR. Jay T. Ballhagen, M.D.
Ballhagen is 1 of 67 specialist providers in Boise and 1 of 305 in Idaho.
Primary specialty
Specialist
Licensed in
MT
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-02-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 305 active specialist providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-02Enumerated in NPPES
2009
2026
Where they practice
Practice location
10500 W Waterway Ct
Boise, ID 837143616
Mailing address
10500 W Waterway Ct
Boise, ID 837143616
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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