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

Jason Gary Hamblin, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760825442

Jason Gary Hamblin, MD is a Diagnostic Radiology in Boise, Idaho. Graduated from Wayne State University School of Medicine in 2013, 13 years ago. Practices with Gem State Radiology LLP, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
13
Trained at
Wayne State University School of Medicine
Licensed in
NM
In the registry since
2013
Specialties on file
3
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

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-8855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 — (505) 272-2269

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD2015-0702 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RS2013-0428 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1760825442
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESDecember 4, 2019
Mailing address933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Gem State Radiology Llp — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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