DAVID S HODGE MD INC (NPI# 1124646112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124646112 |
| Entity Type | Organization |
| Organization Name | DAVID S HODGE MD INC |
| Practice Address |
215 North Fresno Street, Suite 370 Suite 370 Fresno CA 93721-0998 |
| Mailing Address |
180 W Bullard Ave Ste 102 Clovis CA 93612-0998 |
| Practice Telephone | 5594954543 |
| Practice Fax Number | 5594591539 |
| Mailing Telephone | 5594409740 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | DR. DAVID STANTON HODGE (PRESIDENT) |
| Authorized Official Telephone | 5594409740 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
215 NORTH FRESNO STREET, SUITE 370 SUITE 370 |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-0998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346256567 | Holly Lynn Williams | Surgery | 6235 N Fresno St, Ste 106, Valley Pediatric Surgery Associates, Fresno, CA 93710 | 2006-07-31 |
| 1942248356 | Karen C Cartwright | Surgery | 2804 W Compton Ct, Fresno, CA 93711-1181 | 2006-06-04 |
| 1063471746 | David S. Hodge | Surgery | 215 N Fresno St, Suite 370, Fresno, CA 93721 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629560149 | Norcal Pediatric Surgical Partners | Surgery | 21c Orinda Way # 276, Orinda, CA 94563-2534 | 2018-05-31 |
| 1598137291 | Pasadena Pediatric Surgery, Inc. | Surgery | 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 | 2015-10-21 |
| 1205121704 | Bindi Naik-mathuria | Surgery | 7512 Hampton Ave, West Hollywood, CA 90046-5503 | 2011-06-13 |
| 1295053437 | Ashley Walther | Surgery | 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 | 2010-05-12 |
| 1881918407 | R V Daluvoy Md Inc | Surgery | 908 East Main St, Barstow, CA 92311-2406 | 2010-03-25 |
| 1215162607 | James Pierce | Surgery | 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 | 2009-05-28 |
| 1790921641 | Clinica Medica Del Valle, Inc. | Surgery | 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 | 2008-12-24 |
| 1225298870 | Payam Saadai | Surgery | 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 | 2008-06-16 |
| 1396916524 | Erin Brown | Surgery | 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 | 2008-03-15 |
| 1124203872 | Children's Hospital Los Angeles Medical Group | Surgery | 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 | 2007-12-31 |
| Find all providers with the same taxonomy | ||||
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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.