DR. REVA HODGE (NPI# 1215016209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215016209 |
| Entity Type | Individual |
| Full Name | DR. REVA HODGE |
| Credential | EDD |
| Practice Address |
12650 W. County Road 1100 N. Gaston IN 47342 |
| Mailing Address |
12650 W. County Road Gaston IN 47342 |
| Practice Telephone | 7653584649 |
| Practice Fax Number | 7653584650 |
| Mailing Telephone | 7653584649 |
| Mailing Fax Number | 7653584650 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NONE | Other Service Providers |
| Street Address |
12650 W. COUNTY ROAD 1100 N. |
| City | GASTON |
| State | IN |
| Zip Code | 47342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801019112 | Gaston Volunteer Fire Dept, Inc | Ambulance | 105 N. Sycamore St, Gaston, IN 47342 | 2007-04-11 |
| 1265463665 | Hickory Creek Healthcare Foundation, Inc. | Intermediate Care Facility, Mentally Retarded | 502 N. Madison St, Gaston, IN 47342-0159 | 2006-07-05 |
| 1457910762 | Gemma E Smith | Speech-Language Pathologist | 3621 W County Road 900 N, Gaston, IN 47342-9014 | 2019-06-10 |
| 1275071391 | Makayla Rose Johnson | Student in an Organized Health Care Education/Training Program | 17001 N Angler Club Rd, Gaston, IN 47342-9225 | 2017-02-09 |
| 1386955367 | Lora Linn Wilson | Physical Therapy Assistant | 8000 N County Road 600 W, Gaston, IN 47342-9339 | 2010-06-24 |
| 1942362306 | Wes-del Community Schools | Local Education Agency (LEA) | 10290 N County Road 600 W, Gaston, IN 47342-9341 | 2006-12-14 |
| 1215198288 | Dawn M Jeffers | Dietitian, Registered | 9811 W Bethel Ave, Gaston, IN 47342-9772 | 2008-06-22 |
| 1538204870 | Dermatology, PC | Dermatology | 330 N Wabash Ave, #360, Marion, IN 47342-9999 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245256 | Aloura Linfesty | Dietitian, Registered | 12944 Sw Sara Dr, Gaston, OR 97119-8580 | 2020-11-05 |
| 1760092548 | Stephanie M Torrado | Technician | 344 Lawndale Dr, Gaston, SC 29053-8114 | 2020-08-05 |
| 1225661242 | Patricia Shamberger | Private Vehicle | 127 G and K Ct Apt C, Gaston, SC 29053-9298 | 2020-02-18 |
| 1932739893 | Kristen Leah Mccarter | Behavior Technician | 108 Roundtree Dr, Gaston, SC 29053-8771 | 2020-01-20 |
| 1598315798 | Healthstat Onsite Clinic Zeus Columbia | Preventive Medicine | 115 15th St, Gaston, SC 29053-8260 | 2019-09-19 |
| 1568945210 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 5301 Highway 321, Gaston, SC 29053-9196 | 2018-09-10 |
| 1760989537 | Joanna Wallace | Early Intervention Provider Agency | 241 Woodcote Dr, Gaston, SC 29053-8479 | 2018-04-09 |
| 1982143848 | Southern Support | Community/Behavioral Health | 480 River Rd, Gaston, NC 27832-9079 | 2017-02-13 |
| 1164964284 | Felicia Colter | Licensed Vocational Nurse | 328 Gaston Spring Ct, Gaston, SC 29053-8440 | 2016-11-07 |
| 1295181485 | Katasha Davis | Counselor | 129 Woodcote Dr, Gaston, SC 29053-8449 | 2016-05-06 |
| Find all providers in GASTON | ||||
| 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 |
|---|---|---|---|---|
| 1194354274 | Center for Vascular Medicine In LLC | Specialist | 33 E County Line Rd Ste D, Greenwood, IN 46143-1078 | 2020-04-02 |
| 1659903599 | Ann M Samra-theurer | Specialist | 3988 Cobblestone Cv, New Haven, IN 46774-2078 | 2020-02-09 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1508320318 | Andrea Carlson | Specialist | 3570 E Lincoln Hwy, Merrillville, IN 46410-5830 | 2019-01-25 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1679078398 | Wright Choice Hairquarters | Specialist | 1815 Fox Point Trl Apt 2, Fort Wayne, IN 46816-2450 | 2018-03-26 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1568995785 | Southlake Internal Medicine LLC | Specialist | 928 Mary Ellen Dr, Crown Point, IN 46307-8998 | 2017-04-05 |
| 1679010342 | Kathryn Dittmer | Specialist | 3411 Airport Rd, Portage, IN 46368-5107 | 2017-01-19 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
| 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.