Gene K. Hodges M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M4937 Issued in ID

Legal business name

GENE K. HODGES M.D.

Practice address

2065 E 17TH St
Suite a
Idaho Falls, ID 83404-8042

Phone

(208) 522-3301

Fax

(208) 522-3414

NPI assigned

Nov 7, 2016

Last updated

Nov 7, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

1316055320As reported in NPPES

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

Authorized official

Name

Patricia C White

Title

Bookkeeper

Phone

(208) 522-3301

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gene K Hodges MD2 organizations share this tax ID, including this one

Part of

Gene K Hodges MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gene K Hodges MD

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1659405140
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gene K. Hodges, M.D.

  • Adult Medicine Physician
  • Idaho Falls, ID
  • NPI 1316055320

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1366984437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST",
            "address_2": "SUITE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-3301",
            "fax_number": "208-522-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST",
            "address_2": "SUITE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-3301",
            "fax_number": "208-522-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE K. HODGES M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1316055320",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "208-522-3301"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M4937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000316100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Gaudio, LMSW
• Kyle Gebs, FNP-C
• Gem Prep: Idaho Falls, LLC
• Gem State Regional Dialysis Center (University of Utah)
• Gene K Hodges MD
• Generations Occupational Therapy
• Genesis Women's Health Non-Profit Corporation
• Nathaniel Dean Genther, LMSW
• Clayton Gentillon
• Jeremy George, BS

• Family Medicine Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.