P Praxis·MD
● Active Type 1 · Individual

DR. Jeremy David Waldram, M.D.

Allergy & Immunology·Boise, ID· NPI 1396972311 · Enumerated 2009 · 16 years on NPI
Waldram is 1 of 7 allergy & immunology providers in Boise and 1 of 10 in Idaho.
NPI age
16 years
Enumerated 2009-06-17
Primary specialty
Allergy & Immunology
Plus 1 subspecialty
Licensed in
ID, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 10 active allergy & immunology providers in Idaho.

NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
2 states
Top 70% — 30% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
1000 N Curtis Rd Ste 303
Boise, ID 837061347
📞 2083774000
Mailing address
1000 N Curtis Rd Ste 303
Boise, ID 837061347
📞 2083774000

Additional practice locations

1 secondary location on file with NPPES.

Location 2
Naval Medical Ctr, 34800 Bob Wilson Dr
San Diego, CA 921345000
📞 6192160466

Specialties

  • Allergy & Immunology Primary
    An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
    ID license #M-15024 taxonomy 207K00000X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    IN license #01069478A taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 2 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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