{"npi":"1396972311","type":"NPI-1","status":"active","name":{"display":"Dr. Jeremy Waldram M.D.","other":[],"first":"JEREMY","last":"WALDRAM","middle":"DAVID","credential":"M.D."},"specialty":{"primary_taxonomy":"207K00000X","primary_taxonomy_description":"Allergy & Immunology Physician","slug":"allergy-immunology-physician","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"IN","license":"01069478A"},{"code":"207K00000X","description":"Allergy & Immunology Physician","primary":true,"state":"ID","license":"M-15024"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 N CURTIS RD STE 303","city":"BOISE","state":"ID","postal_code":"837061347","country_code":"US","phone":"2083774000"},{"purpose":"MAILING","street_1":"1000 N CURTIS RD STE 303","city":"BOISE","state":"ID","postal_code":"837061347","country_code":"US","phone":"2083774000"}],"license":{"state":"ID","number":"M-15024"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200729001127","type_code":"14-03","type_desc":"PRACTITIONER - ALLERGY/IMMUNOLOGY","state":"ID","pac_id":"5698926855"}]},"enumeration_date":"2009-06-17","last_updated":"2020-10-27","_meta":{"source":"NPPES","snapshot_date":"2020-10-27","doc_url":"https://findmynpi.com/api"}}