TERESA B HODGE (NPI# 1558452771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558452771 |
| Entity Type | Individual |
| Full Name | TERESA B HODGE |
| Credential | PA-C |
| Practice Address |
575 Claud Rd Eclectic AL 36024-6318 |
| Mailing Address |
Po Box 241120 Eclectic AL 36024-0018 |
| Practice Telephone | 3345413020 |
| Practice Fax Number | 3345143109 |
| Mailing Telephone | 3345413020 |
| Mailing Fax Number | 3345413109 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004261 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 167905 | 05 | |
| GA | 003139656B | 05 |
| Street Address |
575 CLAUD RD |
| City | ECLECTIC |
| State | AL |
| Zip Code | 36024-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568410181 | Gary Lee Mcculloch Sr. | Family Medicine | 575 Claud Rd, Eclectic, AL 36024-6318 | 2006-05-05 |
| 1376613869 | Eclectic Family Care, LLC | Specialist | 575 Claud Rd, Eclectic, AL 36024-6318 | 2006-11-09 |
| 1205905155 | Eclectic Family Pharmacy, Inc. | Pharmacy | 575 Claud Rd, Ste 2000, Eclectic, AL 36024-6318 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538564638 | Matthew Lock | Student in an Organized Health Care Education/Training Program | 800 Mullins Rd, Eclectic, AL 36024 | 2014-10-31 |
| 1871739904 | Teresa Lynn Lett | Pharmacist | 575 Claud Road, Suite 2000, Eclectic, AL 36024 | 2008-12-19 |
| 1295833093 | Town of Eclectic | Ambulance | 140 1st Ave, Eclectic, AL 36024 | 2006-09-20 |
| 1760934202 | Ryan Peaden | Chiropractor | 8341 Kowaliga Rd, Eclectic, AL 36024-3749 | 2016-11-01 |
| 1013433861 | Lake Martin Chiropractic Health Center, LLC | Chiropractor | 8341 Kowaliga Rd, Eclectic, AL 36024-3749 | 2017-08-14 |
| 1316205982 | Angels of Compassion LLC. | Home Health | 400 Birmingham Rd, Eclectic, AL 36024-4606 | 2012-05-01 |
| 1982067500 | Kelly Mooney | Pharmacist | 5024 Kowaliga Rd, Eclectic, AL 36024-4809 | 2016-03-31 |
| 1982626842 | Health Services Inc | Clinic/Center | 30 Main St, Eclectic, AL 36024-5614 | 2006-07-23 |
| 1538583570 | Vernita Russell | Community Health Worker | 40 Kowaliga Rd, Eclectic, AL 36024-5618 | 2014-02-11 |
| 1255429197 | Tim Allen Needham | Dentist | 585 Claud Rd, Eclectic, AL 36024-6318 | 2006-10-10 |
| Find all providers in zip 36024 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1235749276 | Danna Self | Physician Assistant | 7848 Shriner Dr, Pinson, AL 35126-2416 | 2020-08-04 |
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1710516208 | Dnika C Joseph | Physician Assistant | 255 Three Sons Dr, Hoover, AL 35226-2952 | 2020-04-06 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| 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.