IndividualActive
Samuel Jorgenson, M.D.
NPI 1962447169 · Orthopaedic Surgery of the Spine Physician · Meridian, ID
Provider details
- NPI number
- 1962447169
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M-8450 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
360 E Montvue Dr
Suite 100
Meridian, ID 83642-6318
Phone: (208) 855-2900
Fax: (208) 898-9788
Approximate (ZIP-level) locationGet directions
Mailing address
360 E Montvue Dr
Meridian, ID 83642-6318
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.