DR. DOUGLAS DAVID HODGKIN


Address: 640 Jackson St, Saint Paul, MN 55101
Phone: 6512544887

DR. DOUGLAS DAVID HODGKIN (NPI# 1154384071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154384071
Entity Type Individual
Full Name DR. DOUGLAS DAVID HODGKIN
Credential MD
Practice Address 640 Jackson St
Saint Paul
MN 55101
Mailing Address 8170 33rd Ave S # Ms 21110q
Minneapolis
MN 55425-4516
Practice Telephone 6512544887
Mailing Telephone 6512544887
Enumeration Date 2006-04-11
Last Update Date 2019-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
40006 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 959814600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
640 Jackson St, Saint Paul, MN 551012502 6512544887

Office Location

Street Address 640 JACKSON ST
City SAINT PAUL
State MN
Zip Code 55101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780686378 Margaret Radermacher Schnobrich Nurse Anesthetist, Certified Registered 640 Jackson St, Saint Paul, MN 55101-2502 2005-08-12
1013518174 Katara Jo Henderson Student in an Organized Health Care Education/Training Program 640 Jackson St, Saint Paul, MN 55101-2595 2020-11-05
1013516087 Marit Sonnesyn Physician Assistant 640 Jackson St, Saint Paul, MN 55101-2502 2020-10-21
1114526027 Carolyn Besch Occupational Therapist 640 Jackson St, Saint Paul, MN 55101-2595 2020-10-21
1952908576 Mckenna Rebecca Splett Physical Therapist 640 Jackson St, Saint Paul, MN 55101-2502 2020-10-06
1164029997 Alyssa Jean Cutcher Physical Therapist 640 Jackson St, Saint Paul, MN 55101-2595 2020-10-05
1851998884 Danielle Chirhart Occupational Therapist 640 Jackson St, Saint Paul, MN 55101-2595 2020-10-02
1174130389 Frederick Schaefer Jr. Speech-Language Pathologist 640 Jackson St, Saint Paul, MN 55101-2502 2020-09-30
1538775853 Rebeca Joy Houle Nurse Anesthetist, Certified Registered 640 Jackson St, Saint Paul, MN 55101-2502 2020-09-22
1134733702 Nicholas Honda Pharmacist 640 Jackson St, Saint Paul, MN 55101-2502 2020-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508480427 El Solutions LLC Clinic/Center 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 2020-06-05
1689211443 Siripa Min Nurse Anesthetist, Certified Registered 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 2019-11-28
1922590488 Diane Mcleod Physician Assistant Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 2018-05-31
1699284919 Eric Mcgillis Emergency Medicine Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 2017-09-29
1073051751 Hannah Elizabeth Rosenthal Danielson Physician Assistant 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 2017-02-02
1992182323 Theresa Annette Cashdollar-powell Social Worker 640 Jackson, St Paul, MN 55101 2015-05-06
1770986101 Margaret Augusta Cutter Physician Assistant 200 Univeristy Ave E, Saint Paul, MN 55101 2014-09-30
1851641419 Lisa Rae Caturia Occupational Therapy Assistant 640 Jackson St, 8th Floor, St Paul, MN 55101 2012-09-11
1558619478 Rph On The Go Community/Behavioral Health 172 E 6th Street, 704, Saint Paul, MN 55101 2012-08-27
1184994212 Duyen Truong Pharmacist 604 Jackson Street, St. Paul, MN 55101 2012-01-05
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639464498 Ryan J Koene Internal Medicine 172 6th St E, Saint Paul, MN 55101-1993 2011-06-09
1629267588 Edriss Ali Charaf Internal Medicine 1700 University Ave W Fl 7, Saint Paul, MN 55104-3727 2007-10-17
1912975871 Michael Peterson Internal Medicine 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 2006-03-08
1992780423 David Ned Dunbar Internal Medicine 225 Smith Ave N, Suite 500, Saint Paul, MN 55102-2534 2005-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043507577 Yan Dong Internal Medicine 1001 E Superior St Ste 201, Duluth, MN 55802-2228 2011-07-05
1184662967 Marco A Guerrero Internal Medicine 640 Jackson Street - Ms 11102m, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 2006-06-03
1598390072 Haley Stebbing Internal Medicine 800 E 28th St # H2100, Minneapolis, MN 55407-3723 2020-03-05
1477018596 Darwin Yeung Internal Medicine 200 1st St Sw, Rochester, MN 55905 2019-02-02
1336628007 Walid Barake Internal Medicine 200 1st St Sw, Rochester, MN 55905-0002 2018-08-13
1790203156 Avi Sabbag Internal Medicine 200 1st St Sw, Rochester, MN 55905-0001 2017-09-06
1366883712 Fatima Ali-ahmed Internal Medicine 200 1st St Sw, Rochester, MN 55905-0001 2013-07-15
1891044400 Narayan Gurukrip Kowlgi Internal Medicine 200 1st St Sw, Rochester, MN 55905-0001 2012-08-29
1992930101 Archana Rajdev Internal Medicine 1200 6th Ave N, Saint Cloud, MN 56303-2736 2009-05-18
1770740417 Siva K Mulpuru Internal Medicine 200 1st St Sw, Rochester, MN 55905 2008-05-20
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City SAINT PAUL
Zip Code 55101

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Dataset Information

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.

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