IndividualActive

Jeremy Conklin, DO

NPI 1700830882 · Surgical Critical Care Physician · Boise, ID

Provider details

NPI number: 1700830882
Entity type: Individual
Primary specialty: Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: OP60816242 (WA)

Surgical Critical Care PhysicianPrimary2086S0102XLicense OC-0435 (ID)
Allopathic & Osteopathic Physicians
Surgical Critical Care Physician2086S0102XLicense OP60816242 (WA)
Allopathic & Osteopathic Physicians
Surgical Critical Care Physician2086S0102XLicense CDR.0002122 (CO)
Allopathic & Osteopathic Physicians
Critical Care Medicine Clinical Nurse Specialist364SC0200XLicense CDR.0002122 (CO)
Physician Assistants & Advanced Practice Nursing Providers

999 N Curtis Rd Ste 415

Boise, ID 83706-1334

Phone: (208) 302-2600

Fax: (208) 302-2625

Approximate (ZIP-level) locationGet directions

747 Broadway

Seattle, WA 98122-4307

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone: (970) 764-2750
Fax: (970) 764-2778
747 Broadway
Seattle, WA 98122-4379
Phone: (206) 215-2520
Fax: (206) 215-6364

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.