Clyde Arthur Hanson, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

O-231 Issued in ID

Practice address

622 W College Ave Ste 2
St Maries, ID 83861-1822

Phone

(208) 568-7800

Fax

(877) 902-7131

NPI assigned

Dec 4, 2006

Last updated

Feb 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in ID, TX3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Syringa Health and Wellness LLCGroup PAC ID 5395124622, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of North Idaho Hospice, Coeur D Alene, ID, CCN 131504
• Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
• Benewah Community Hospital Hospital, Saint Maries, ID, CCN 131317
• Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Syringa Health and Wellness, PLLC

  • Clinic/Center
  • St Maries, ID
  • NPI 1588309900
  Medicare reassignment Care Compare group NPD
• North Idaho Day Surgery LLC

  dba Northwest Specialty Hospital

  • General Acute Care Hospital
  • Post Falls, ID
  • NPI 1104824739
  Medicare reassignment NPD
• Fort Yates Indian Health Service Hospital

  • Critical Access Hospital
  • Fort Yates, ND
  • NPI 1609851039

  TX

  Medicare reassignment

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

• Benewah Community Hospital

  • Critical Access Hospital
  • St Maries, ID
  • NPI 1548320435
  Care Compare affiliation
• Hospice of North Idaho Inc

  • Community Based Hospice Care Agency
  • Coeur d'Alene, ID
  • NPI 1245235878
  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Multi-Specialty Clinic/Center
  • St Maries, ID
  • NPI 1093674301

  Hospital

  Care Compare affiliation
• North Idaho Day Surgery LLC

  dba Northwest Specialty Hospital

  • General Acute Care Hospital
  • Post Falls, ID
  • NPI 1104824739
  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Post Falls, ID
  • NPI 1649123589

  Hospital

  Care Compare affiliation
• Shoshone Medical Center

  • Critical Access Hospital
  • Kellogg, ID
  • NPI 1043215437
  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1760540801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545326",
            "telephone_number": "208-262-2498",
            "fax_number": "208-262-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W COLLEGE AVE STE 2",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838611822",
            "telephone_number": "208-568-7800",
            "fax_number": "877-902-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "CLYDE",
        "middle_name": "ARTHUR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP60768791",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF ID",
            "identifier": "S3168",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8434847",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "141315",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS IDAHO",
            "identifier": "000010028719",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEEIOC",
            "identifier": "601415900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805770200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Ficklin
• Coralyn Marie Furr, FNP
• Donald Douglas Gandy, DO
• Susan E Hall, SLP
• Hope Lane Hansen, LMT
• Nika Hicks, DPT
• Anna Louise Humphrey, RDN
• Idaho Dept of Health & Welfare Reg 1 Amh
• Idaho Dept of Health & Welfare Reg 1 Amh PSR St Maries
• Idaho Partners in Care

• Emergency Medicine Physician in St Maries, ID
• Providers in St Maries, ID by specialty
• Emergency Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.