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

Dr. Jay T. Ballhagen, MD

Individual provider Specialist · NPI 1356589931

Dr. Jay T. Ballhagen, MD is a Specialist in Boise, Idaho. Practices as a sole proprietor. Licensed in Montana.

Licensed in
MT
In the registry since
2009
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

10500 W Waterway Ct
Boise, ID 83714-3616
Phone: (208) 853-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 3414 (MT)

Record details

NPI number1356589931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 4, 2009
Last updated in NPPESFebruary 4, 2009

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