P Praxis·MD
● Active Type 1 · Individual

DR. Gregory R. Hodson, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)·Idaho Falls, ID· NPI 1164426771 · Enumerated 2005 · 20 years on NPI
Hodson is 1 of 7 thoracic surgery (cardiothoracic vascular surgery) providers in Idaho Falls and 1 of 25 in Idaho.
NPI age
20 years
Enumerated 2005-06-10
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Plus 1 subspecialty
Licensed in
IN, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-07-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 25 active thoracic surgery (cardiothoracic vascular surgery) providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 68% — 32% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
2225 Teton Plz, Ste B
Idaho Falls, ID 834046494
📞 2085244660fax 2085244617
Mailing address
2225 Teton Plz, Ste B
Idaho Falls, ID 834046494
📞 2085244660fax 2085244617

Specialties

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary
    A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall,...
    IN license #01076326A taxonomy 208G00000X
  • Surgery
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    ID license #M6479 taxonomy 2086S0129X

Identifiers

TypeValueNotes
01 (IN) 000001021963 ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653
05 (IN) 201352320
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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