Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clyde Arthur Hanson, DO

Individual provider Emergency Medicine Physician · NPI 1760540801

Clyde Arthur Hanson, DO is a Family Practice in St Maries, Idaho. Qualified in 1988, 38 years ago. Practices with North Idaho Day Surgery LLC, a 90-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
38
Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

622 W College Ave Ste 2
St Maries, ID 83861-1822
Phone: (208) 568-7800
Fax: (877) 902-7131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence O-231 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OP60768791 (WA)

Record details

NPI number1760540801
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address1593 E Polston Ave, Post Falls, ID 83854-5326

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice North Idaho Day Surgery Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Maries