Joseph Neil Ragan, MD

Individual provider Active NPI Family Medicine Physician · Pocatello, ID

NPI 1659324499 · NPPES record last updated Nov 22, 2012

Key facts

NPI
1659324499
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
M-10736 (ID)
Practice address
465 Memorial Dr
Pocatello, ID 83201-4008
Phone
(208) 282-4700
Fax
(208) 282-4696
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 18

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

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health West Inc (67 clinicians)

Practice addresses (Care Compare)

465 Memorial Dr
Pocatello, ID 83201-4008
Phone 20823278621122

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health West Downey
Downey, ID · CCN 131815
Federally qualified health center Corporate Director
W-2 Managing Employee
Jan 1, 2013
Jan 1, 2013
Health West Pocatello
Pocatello, ID · CCN 131819
Federally qualified health center Corporate Director
W-2 Managing Employee
Jan 1, 2013
Jan 1, 2013
Health West Lava
Lava Hot Springs, ID · CCN 131801
Federally qualified health center Corporate Director
W-2 Managing Employee
Jan 1, 2013
Jan 1, 2013
Health West American Falls
American Falls, ID · CCN 131802
Federally qualified health center Corporate Director
W-2 Managing Employee
Jan 1, 2013
Jan 1, 2013
Health West Family Medicine Clinic
Pocatello, ID · CCN 131846
Federally qualified health center Corporate Director
W-2 Managing Employee
Jan 1, 2013
Jan 1, 2013
Health West Inc
Chubbuck, ID · CCN 131852
Federally qualified health center Corporate Director
W-2 Managing Employee
Jan 1, 2013
Jan 1, 2013

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130506000432 ID Practitioner - Family Practice 4789676636 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Hospital LLC Current Accepting new patients
Pocatello Health Services, LLC Current
since Feb 20, 2013
Accepting new patients
Pocatello Health Services, LLC Current
since Feb 20, 2013
Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Health West, Inc. Family Medicine Current
since Dec 8, 2012
Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Current
since Dec 8, 2012
Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Correct Care, Inc. Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Associated Healthcare Systems of Randolph County, Inc. Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

204 Center St
McCammon, ID 83250
Phone (208) 254-9326

152 S 4th St
Montpelier, ID 83254
Phone (208) 847-2108

500 S 11th Ave
Ste 400
Pocatello, ID 83201

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

880 W Quinn Rd
Pocatello, ID 83202
Phone (208) 238-2000

1000 N 8th Ave
Pocatello, ID 83201
Phone (208) 232-6260

1001 N 7th Ave
Ste 135
Pocatello, ID 83201
Phone (208) 234-2489

500 S 11th Ave
Ste 204
Pocatello, ID 83201
Phone (208) 232-1443

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122

Interoperability endpoints

  • Direct secure messaging: joseph.ragan.1@16258.direct.athenahealth.com
  • Direct secure messaging: joseph.ragan.1@13153.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-10736 ID Yes

Addresses

Primary practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Mailing address

465 Memorial Dr
Pocatello, ID 83201-4008
Phone (208) 282-4700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 22, 2012.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1659324499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MEMORIAL DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014008",
            "telephone_number": "208-282-4700",
            "fax_number": "208-282-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MEMORIAL DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014008",
            "telephone_number": "208-282-4700",
            "fax_number": "208-282-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "JOSEPH",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

All providers in Pocatello, ID · Family Medicine Physician in Idaho

Sources for this page

Verify at the official NPI Registry.