P Praxis·MD
● Active Type 1 · Individual

DR. Dwayne Maxwell Hansen JR., DO

Surgery·Rexburg, ID· NPI 1871013938 · Enumerated 2017 · 8 years on NPI
Hansen is 1 of 9 surgery providers in Rexburg and 1 of 260 in Idaho.
NPI age
8 years
Enumerated 2017-06-20
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
ID, ND
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
8 years
↓ 10 yr below median (18 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-06Enumerated in NPPES
2017 2026

Where they practice

Practice location
381 E 4th N Ste 100
Rexburg, ID 834401684
📞 2086568442fax 2086568453
Mailing address
Po Box 185
Rexburg, ID 834400185
📞 2086568442fax 2086568453

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #O-1663ND license #RL14661 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 2 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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