Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jared S Johnson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1891982559

Dr. Jared S Johnson, MD is an Orthopedic Surgery in Boise, Idaho. Graduated from Js Weill Medical College, Cornell University in 2007, 19 years ago. Practices with The Shoulder Clinic of Idaho PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
19
Trained at
Js Weill Medical College, Cornell University
Licensed in
CA, ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8854 W Emerald St Ste 102
Boise, ID 83704-4845
Phone: (208) 323-4747
Fax: (208) 323-4848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M-12474 (ID)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A107698 (CA)

Record details

NPI number1891982559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2007
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address1940 S Bonito Way Ste 190, Meridian, ID 83642-5618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice The Shoulder Clinic Of Idaho Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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