NPI age
20 years
Enumerated 2006-05-21
● Active
Type 1 · Individual
DR. Jeremy Henry Conklin, DO
Conklin is 1 of 8 surgery providers in Boise and 1 of 11 in Idaho.
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
ID, WA, CO
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-03-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11 active surgery providers in Idaho.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
3 states
Top 0% — 100% of peers are multi-state
Subspecialties
1
In the 100% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
999 N Curtis Rd Ste 415
Boise, ID 837061334
Mailing address
747 Broadway
Seattle, WA 981224307
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1010 Three Springs Blvd
Durango, CO 813018296
Location 3
747 Broadway
Seattle, WA 981224379
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
-
Clinical Nurse SpecialistDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1700830882 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 11 Surgery providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.