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

Jon L Hlavinka, MD

Individual provider Family Medicine Physician · NPI 1194715136

Jon L Hlavinka, MD is a Family Practice in Boise, Idaho. Graduated from University of North Dakota School of Medicine in 1983, 43 years ago. Practices with Walter Knox Memorial Hospital, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
43
Trained at
University of North Dakota School of Medicine
Licensed in
ID
In the registry since
2005
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

300 E Bannock St
Boise, ID 83712-6207
Phone: (208) 342-7400
Fax: (208) 342-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5865 W Hidden Springs Dr, Boise, ID 83714-9464 — (208) 342-7400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M6008 (ID)

Record details

NPI number1194715136
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023
Mailing address300 E Bannock St, Boise, ID 83712-6207

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Walter Knox Memorial Hospital — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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