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
Owned or controlled facilities with NPI records 6
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
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
| Facility | Type | Role | Since |
|---|---|---|---|
| Health West Downey |
Federally qualified health center | Corporate Director W-2 Managing Employee |
Jan 1, 2013 Jan 1, 2013 |
| Health West Pocatello |
Federally qualified health center | Corporate Director W-2 Managing Employee |
Jan 1, 2013 Jan 1, 2013 |
| Health West Lava |
Federally qualified health center | Corporate Director W-2 Managing Employee |
Jan 1, 2013 Jan 1, 2013 |
| Health West American Falls |
Federally qualified health center | Corporate Director W-2 Managing Employee |
Jan 1, 2013 Jan 1, 2013 |
| Health West Family Medicine Clinic |
Federally qualified health center | Corporate Director W-2 Managing Employee |
Jan 1, 2013 Jan 1, 2013 |
| Health West Inc |
Federally qualified health center | Corporate Director W-2 Managing Employee |
Jan 1, 2013 Jan 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130506000432 | ID | Practitioner - Family Practice | 4789676636 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Hospital LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current |
Accepting new patients | |
| Pocatello Health Services, LLC | Current |
Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Health West, Inc. | Family Medicine | Current |
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 |
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
- joseph.ragan.1@16258.direct.athenahealth.com
- joseph.ragan.1@13153.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- R.I.T.E.S., Inc.
- Andrea Sue Radabaugh
- Madison Monet Radasch
- Radiant Soul LLC
- Radiology Physicians of Idaho
- Terrence Michael Rager
- Bailey Marie Rainey
- Ryanne Christine Rainsdon
- Martha Yadira Ramirez
- Sean J Rammell
All providers in Pocatello, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.