DR. STEPHANIE BROOKE HODSON (NPI# 1265478374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265478374 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE BROOKE HODSON |
| Credential | MD |
| Practice Address |
2855 E Magic View Dr Meridian ID 83642 |
| Mailing Address |
2855 E Magic View Dr Meridian ID 83642-6245 |
| Practice Telephone | 2088888209 |
| Practice Fax Number | 5094622275 |
| Mailing Telephone | 5098224200 |
| Mailing Fax Number | 5094622275 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
M-8633 | ID | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
M8633 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558721787 | Stephanie Hodson | Massage Therapist | 4026 Pacific Ave, Tacoma, WA 98418-7830 | 2016-03-01 |
| Street Address |
2855 E MAGIC VIEW DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013109 | Eric W Klein | Specialist | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2005-06-16 |
| 1174156418 | Lea Jo Piper | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2020-02-14 |
| 1316587751 | Samuel Merritt Uebelacker | Physician Assistant | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2020-01-14 |
| 1598231623 | Katherine Lindsay Mondada | Physician Assistant | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2018-10-16 |
| 1316331705 | Adam Schatz | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2015-03-24 |
| 1053695676 | Melissa Brianne Mcclenahan | Physician Assistant | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2011-09-30 |
| 1659663482 | Lisa Michela Parrillo | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2011-05-12 |
| 1942356647 | Heather R Crandall | Specialist/Technologist, Other | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2007-01-26 |
| 1427143346 | Katy Holder | Physician Assistant | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2006-10-04 |
| 1689620692 | Idaho Urologic Institute Pa | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2006-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720241201 | Jennifer T Eubanks | Internal Medicine | 1704 23rd Ave Fl 2, Meridian, MS 39301-3103 | 2008-07-06 |
| 1649513250 | Eric Fountain | Internal Medicine | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2013-04-02 |
| 1043461817 | Travis G Williams | Internal Medicine | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2008-10-09 |
| 1326140039 | Silvana Z Bucur | Internal Medicine | 520 S Eagle Rd, Lower Level, Meridian, ID 83642-6351 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891857512 | Nathan Bradley Adams | Internal Medicine | 2330 Desoto St, Idaho Falls, ID 83404-7570 | 2006-12-16 |
| 1669565669 | A. Richard Miranda | Internal Medicine | 706 N College Rd, Suite A, Twin Falls, ID 83301-5824 | 2006-10-02 |
| 1528075744 | Thomas J Leavitt | Internal Medicine | 284 Buck Run, Sagle, ID 83860 | 2006-08-01 |
| 1669497194 | Dane J Dickson | Internal Medicine | 380 Walker Drive, Rexburg, ID 83440 | 2006-07-13 |
| 1588696538 | Jonathan N Swerdloff | Internal Medicine | 308 E Hawaii Ave, Nampa, ID 83686-6013 | 2006-07-07 |
| 1508809252 | Daniel E Williams | Internal Medicine | 1250 Idaho St, Lewiston, ID 83501-1965 | 2006-06-13 |
| 1871558239 | Michael L Francisco | Internal Medicine | 651 Memorial Dr, Portneuf Cancer Center, Pocatello, ID 83201 | 2006-04-19 |
| 1669462362 | Mountain View Hospital LLC | Internal Medicine | 2325 Coronado St, Idaho Falls, ID 83404-7407 | 2005-10-24 |
| 1952307605 | David W. Ririe | Internal Medicine | 500 S 11th Ave Ste 100, Pocatello, ID 83201-4877 | 2005-06-27 |
| 1477020303 | Maria Teresa Cervantes-fullmer | Internal Medicine | 3245 Channing Way, Idaho Falls, ID 83404-7536 | 2018-10-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.