NPIMap

Individual provider Active NPI

Ryan Dennis Hodges, PA

  • Physician Assistant
  • Twin Falls, ID
National Provider Identifier
1033413240
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-961 Issued in ID
Practice address
388 Martin St
Twin Falls, ID 83301-4544
Phone
(208) 734-0451
Fax
(208) 734-0452
NPI assigned
Jan 3, 2011
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-961 ID Primary

Addresses

Primary practice location

388 Martin St
Twin Falls, ID 83301-4544

Mailing address

794 Eastland Dr
Twin Falls, ID 83301-6856
Phone (208) 734-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120402000016 ID Practitioner - Physician Assistant 6305025206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

325 Martin St
Twin Falls, ID 83301-4563
Phone (208) 732-7101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-961IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation Current Accepting new patients
Family Health Services Corporation Physician Assistant Current Accepting new patients
Family Health Services Corporation Physician Assistant Current Accepting new patients
Family Health Services Corporation CurrentSince Feb 1, 2012 Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients

Locations

621 N Main St
Bellevue, ID 83313
Phone (208) 725-3145

725 Fair St
Buhl, ID 83316
Phone (208) 543-8271

1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198

114 Pioneer Ct
Jerome, ID 83338
Phone (208) 324-3471

218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471

402 6th St
Rupert, ID 83350
Phone (208) 650-7941

651 S Beverly St
Shoshone, ID 83352
Phone (208) 886-2224

325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101

325 Martin St
Ste 1
Twin Falls, ID 83301

388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451

794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ryan.hodges.p1@direct.fhsid.nextgenshare.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1033413240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016856",
            "telephone_number": "208-734-3312",
            "fax_number": "208-734-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 MARTIN ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014544",
            "telephone_number": "208-734-0451",
            "fax_number": "208-734-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "RYAN",
        "middle_name": "DENNIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.