P Praxis·MD
● Active Type 1 · Individual

Jordan T Hammon, DO

Family Medicine·Pocatello, ID· NPI 1518532464 · Enumerated 2021 · 4 years on NPI
Hammon is 1 of 141 family medicine providers in Pocatello and 1 of 1691 in Idaho.
NPI age
4 years
Enumerated 2021-05-24
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
4 years
↓ 13 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-05Enumerated in NPPES
2021 2026

Where they practice

Practice location
1951 Bench Rd Ste B
Pocatello, ID 832012073
📞 2082381000
Mailing address
1951 Bench Rd
Pocatello, ID 832012013
📞 2082381000fax 2082380009

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #MRO-2043 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 11 new family medicine providers have been added in Pocatello in the last 180 days. See all →
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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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