NPIMap

Organization Active NPI

Hodges Family Medicine, PLLC

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1295140648
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-109 Issued in ID
Legal business name
HODGES FAMILY MEDICINE, PLLC
Practice address
2947 E Magic View Dr
Suite #1
Meridian, ID 83642-3561
Phone
(208) 854-9534
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Timothy Hodges, D.O.
Title
Owner
Phone
(208) 854-9534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X O-109 ID Primary

Addresses

Primary practice location

2947 E Magic View Dr
Suite #1
Meridian, ID 83642-3561

Mailing address

1350 S Five Mile Rd
#191220
Boise, ID 83719-0020
Phone (208) 854-9534

National Provider Directory

National Provider Directory

Locations

1350 S Five Mile Rd
Unit 191220
Boise, ID 83719

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1295140648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S FIVE MILE RD",
            "address_2": "#191220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190020",
            "telephone_number": "208-854-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 E MAGIC VIEW DR",
            "address_2": "SUITE #1",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423561",
            "telephone_number": "208-854-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGES FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-854-9534",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.