HODGES SURGICAL CLINIC, P.A. (NPI# 1316130560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316130560 |
| Entity Type | Organization |
| Organization Name | HODGES SURGICAL CLINIC, P.A. |
| Practice Address |
2854 Highway 55 Suite #130 Eagan MN 55121-2156 |
| Practice Telephone | 6518423329 |
| Mailing Telephone | 6518423329 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | DR. LEROY W HODGES (PRESIDENT) |
| Authorized Official Telephone | 6512244930 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | 129703 | 01 |
| Street Address |
2854 HIGHWAY 55 SUITE #130 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962446781 | Capitol Anesthesia Services P.a. | Nurse Anesthetist, Certified Registered | 2854 Highway 55, Suite 130, Eagan, MN 55121-1405 | 2006-06-15 |
| 1730485582 | Lake City Family Physicians PC | Family Medicine | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2011-01-26 |
| 1306149539 | Kathryn Susan Eisenmenger Fuentes | Physician Assistant | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2010-12-09 |
| 1841590767 | One T Counseling, Consultation, Training, Publishing & Productions | Counselor | 2854 Highway 55, Suite 130, Eagan, MN 55121-1776 | 2010-10-26 |
| 1265688089 | Mark W. Erhard, M.d., P.a. | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-12 |
| 1023274479 | Lyle J. Swenson, M.d, P.a | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-05 |
| 1619138849 | Alec David Otteman | Internal Medicine | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2008-06-20 |
| 1659396000 | David J Ridley | Internal Medicine | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-13 |
| 1154354751 | Joan M Beard | Nurse Practitioner | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-08 |
| 1053344788 | St Paul Rheumatology P A | Internal Medicine | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801331343 | Minnesota Neurodiagnostics, LLC | Clinic/Center | 860 Blue Gentian Rd, Ste. 200 Office 203, Eagan, MN 55121-1564 | 2016-12-19 |
| 1396282794 | Lifestream Wellness, LLC | Clinic/Center | 3440 Federal Dr, Suite 140, Eagan, MN 55122-3501 | 2017-01-23 |
| 1508289562 | Fairview Health Services | Clinic/Center | 3305 Central Park Village Dr, Suite 210, Eagan, MN 55121-7707 | 2014-01-28 |
| 1891031209 | Medical Addiction Treatment Clinic | Clinic/Center | 1440 Duckwood Drive, Eagan, MN 55121 | 2012-12-13 |
| 1497014500 | Lantz Chiropractic, Pa | Clinic/Center | 3440 Federal Dr, Suite 120, Eagan, MN 55122-3501 | 2012-05-09 |
| 1225304389 | Twin Cities Nutrition Consultants, LLC | Clinic/Center | 1250 Yankee Doodle Rd, Suite 216, Eagan, MN 55121-2231 | 2012-03-22 |
| 1780980599 | Allina Health System | Clinic/Center | 1110 Yankee Doodle Rd, Eagan, MN 55121 | 2011-01-27 |
| 1902130750 | Gregg M Poquette Bs Dc Pa | Clinic/Center | 4660 Slater Rd, Suite 140, Eagan, MN 55122-4047 | 2009-09-28 |
| 1033306147 | Gregg M Poquette B.s. D.c. P.a. | Clinic/Center | 4660 Slater Rd, Suite 140, Eagan, MN 55122-4047 | 2007-10-02 |
| 1275685257 | Advancements In Chiropractic | Clinic/Center | 2020 Silver Bell Rd, Suite #2, Eagan, MN 55122-1050 | 2007-01-18 |
| Find all providers in EAGAN | ||||
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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.