DR. GENE K. HODGES (NPI# 1316055320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316055320 |
| Entity Type | Individual |
| Full Name | DR. GENE K. HODGES |
| Credential | M.D. |
| Practice Address |
2065 E 17th St Suite A Idaho Falls ID 83404-8042 |
| Practice Telephone | 2085223301 |
| Practice Fax Number | 2085223414 |
| Mailing Telephone | 2085223301 |
| Mailing Fax Number | 2085223414 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
M4937 | ID | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
M4937 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 000316100 | 05 | |
| ID | MEDICARE | 1117710 | 01 |
| Street Address |
2065 E 17TH ST SUITE A |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821106089 | Daniel K Hinckley | Specialist | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2006-08-28 |
| 1366984437 | Gene K. Hodges M.d. | Family Medicine | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2016-11-07 |
| 1205135456 | Laura Coryell | Physician Assistant | 2065 E 17th St, St # B, Idaho Falls, ID 83404-8042 | 2011-03-26 |
| 1932417607 | Julian Debruynkops Md Pa | Family Medicine | 2065 E 17th St, Suite C, Idaho Falls, ID 83404-8042 | 2010-09-16 |
| 1164755104 | Ivy A. Hansen | Physician Assistant | 2065 E 17th St, Suite D, Idaho Falls, ID 83404-8042 | 2009-09-09 |
| 1477700573 | Rebecca A. Westergard | Physician Assistant | 2065 E 17th St, Suite D, Idaho Falls, ID 83404-8042 | 2008-08-20 |
| 1659405140 | Gene K. Hodges M.d. | Family Medicine | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2007-03-15 |
| 1518035336 | Daniel K Hinckley Md Pa | Specialist | 2065 E 17th St, St A, Idaho Falls, ID 83404-8042 | 2006-12-01 |
| 1730257791 | Boyd L Hammond Md Pa | Surgery | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2006-11-30 |
| 1750489100 | Mark Lee Capener | Otolaryngology | 2065 E 17th St, Suite B-2, Idaho Falls, ID 83404-8042 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659405140 | Gene K. Hodges M.d. | Family Medicine | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2007-03-15 |
| 1528156577 | Ronald K Arbon | Family Medicine | 2860 Channing Way, Suite 116, Idaho Falls, ID 83404-7531 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003866765 | Christina R Bjornstad | Family Medicine | 625 6th Ave, Lewiston, ID 83501-9999 | 2006-05-11 |
| 1326435850 | Cynthis Sandlin | Family Medicine | 9382 W Overland Rd, Boise, ID 83709-2505 | 2015-04-22 |
| 1679745590 | William Thomas Edwards | Family Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2008-04-01 |
| 1366503955 | John Edward Riley | Family Medicine | 300 Hospital Dr, Orofino, ID 83544-9034 | 2006-12-13 |
| 1699723411 | David James Luther | Family Medicine | 229 S. 7th Street, Saint Maries, ID 83861 | 2006-05-04 |
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on DR. GENE K. HODGES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.