Elmer G Dodge Jr.
FNP | Nurse Practitioner
9858 W State St, Star
Idaho, 83669-5210
208-286-0666
Elmer G Dodge Jr. is a Star, Idaho based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Elmer G Dodge Jr. is NP-534A in Idaho. His current practice location is 9858 W State St, Star. Patients can reach him at 208-286-0666 or can fax him at 208-286-0565. Elmer G Dodge Jr. is FNP with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1508918236.
Elmer G Dodge Jr. has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Elmer G Dodge Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Elmer G Dodge Jr. |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP |
| Practice Address: | 9858 W State St, Star,
Idaho, 83669-5210 |
| Phone: | 208-286-0666 |
| Fax: | 208-286-0565 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1508918236 |
| NPI Enumeration Date: | 16 Jan, 2007 |
| NPI Last Update On: | 01 Sep, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elmer G Dodge Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| NP-534A | | Idaho | Primary | |
| NP534A | Registered Nurse | Idaho | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Elmer G Dodge Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| NPQP7 | Other | Idaho | BLUE CROSS OF IDAHO |
| 000010150031 | Other | Idaho | REGENCE BLUE SHIELD OF ID |
| 806045400 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Elmer G Dodge Jr.
Po Box 44267,
Boise, Idaho |
| Zip: | 83711-0267 |
| Phone Number: | 208-286-0666 |
| Fax Number: | 208-286-0565 |
Patients can reach Elmer G Dodge Jr. at
9858 W State St, Star, Idaho or can
call to book an appointment on 208-286-0666.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.