DR. KEITH R HODGE (NPI# 1154373082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154373082 |
| Entity Type | Individual |
| Full Name | DR. KEITH R HODGE |
| Credential | M.D. |
| Practice Address |
4801 W 135th St Leawood KS 66224-8901 |
| Practice Telephone | 9136633838 |
| Practice Fax Number | 9136634434 |
| Mailing Telephone | 9136633838 |
| Mailing Fax Number | 9136634434 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 04-30074 | KS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE | G39C506A | 01 |
| KS | MEDICARE | G39C506 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962515452 | Keith B. Hodge | Emergency Medicine | 7777 Hennessy Blvd, Suite 208, Baton Rouge, LA 70808-4300 | 2006-08-17 |
| Street Address |
4801 W 135TH ST |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66224-8901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013968007 | Jeffrey Rhodes Dillow | Specialist | 4801 W 135th St, Leawood, KS 66224-8901 | 2006-05-13 |
| 1609436815 | Kalila Anne Steen | Surgery | 4801 W 135th St, Leawood, KS 66224-8901 | 2019-06-19 |
| 1033662234 | Rebecca Andrews | Registered Nurse | 4801 W 135th St, Leawood, KS 66224-8901 | 2016-07-25 |
| 1043570823 | Elizabeth Anne Killion | Surgery | 4801 W 135th St, Leawood, KS 66224 | 2012-05-25 |
| 1942330816 | Paul James Leahy | Plastic Surgery | 4801 W 135th St, Leawood, KS 66224 | 2007-03-07 |
| 1710934245 | Monarch Plastic Surgery P A | Specialist | 4801 W 135th St, Leawood, KS 66224-8901 | 2006-05-29 |
| 1922059914 | Richard John Bene | Specialist | 4801 W 135th St, Leawood, KS 66224 | 2006-05-13 |
| 1104877190 | Regina Marie Nouhan | Specialist | 4801 W 135th St, Leawood, KS 66224-8901 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173981 | Mao Leawood Surgery Center LLC | Clinic/Center | 4940 W 137th Street, Leawood, KS 66224 | 2018-02-02 |
| 1962919324 | Nicole Marie Schroeder | Behavioral Analyst | 5420 W 151rst St., Leawood, KS 66224 | 2018-01-08 |
| 1780101097 | Lisa R. Holland | Speech-Language Pathologist | 5206 W 157th Pl, Overland Park, KS 66224 | 2017-08-28 |
| 1609322338 | Iron Horse Healthcare, Inc. | Home Health | 5401 W. 143rd Street, Leawood, KS 66224 | 2016-09-01 |
| 1184962375 | James Cochran | Counselor | 13720 Roe Ave, Leawood, KS 66224 | 2013-01-22 |
| 1265733075 | Virginia Claire Allen | Physician Assistant | 4963 W. 135th St., Leawood, KS 66224 | 2010-11-10 |
| 1184802712 | Crystal Renee Davis | Physician Assistant | 4963 W. 135th St, Leawood, KS 66224 | 2008-02-06 |
| 1639278666 | Jeffrey W Colyer | Plastic Surgery | 4940b W. 137th St, Leawood, KS 66224 | 2006-09-22 |
| 1568479772 | Robert P Sherman Jr. | Dentist | 4831 W 136th Street, Suite 200, Leawood, KS 66224 | 2006-08-01 |
| 1831165372 | Jocelyn A Wolf | Family Medicine | 5405 151st Street, Leawood, KS 66224 | 2006-02-24 |
| Find all providers in zip 66224 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427407774 | Kally Germano | Specialist | 13121 Buena Vista St, Leawood, KS 66209-4145 | 2016-06-07 |
| 1629313093 | Howard Ellis | Specialist | 11615 Mohawk Ln, Leawood, KS 66211-2665 | 2012-12-11 |
| 1093048373 | Debra Marie Galvin | Specialist | 5033 W 117th St, Leawood, KS 66211-2053 | 2009-09-17 |
| 1053347831 | David P Halbach | Specialist | 12317 Wenonga Ln, Leawood, KS 66209-1436 | 2006-06-24 |
| 1013968007 | Jeffrey Rhodes Dillow | Specialist | 4801 W 135th St, Leawood, KS 66224-8901 | 2006-05-13 |
| 1164481735 | Advanced Cosmetic Surgery, P.a. | Specialist | 11401 Nall Ave, Leawood, KS 66211-1674 | 2006-03-21 |
| 1942209366 | Lynn Daniel Ketchum | Specialist | 11111 Nall Ave, Suite 114, Leawood, KS 66211-1925 | 2005-07-18 |
| 1366441966 | Associated Plastic Surgeons PC | Specialist | 11501 Granada Ln, Leawood, KS 66211-1454 | 2005-07-18 |
| 1780689885 | Daniel J Geha | Specialist | 8800 State Line Rd, Leawood, KS 66206-1553 | 2005-06-15 |
| 1508232083 | Sowjanya Duthuluru | Specialist | 11213 Nall Ave, Suite 100, Leawood, KS 66211-1833 | 2015-08-19 |
| Find all providers in LEAWOOD | ||||
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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.