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

Joshua Ted Hansen, DO

Individual provider Family Medicine Physician · NPI 1730542143

Joshua Ted Hansen, DO is a Family Practice in Jerome, Idaho. Graduated from Rocky Vista University College of Osteopathic Med in 2016, 10 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
ID
In the registry since
2016
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

132 5th Ave W
Jerome, ID 83338-1825
Phone: (208) 814-9800
Fax: (208) 933-9648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 Pennock Pl, Fort Collins, CO 80524-3257 — (970) 495-8800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1656 (ID)

Record details

NPI number1730542143
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2016
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2016 (10 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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