BLAKE M HODGES (NPI# 1659710440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659710440 |
| Entity Type | Individual |
| Full Name | BLAKE M HODGES |
| Credential | MD |
| Practice Address |
901 W Greenwood St Ste 1 Abbeville SC 29620-5727 |
| Mailing Address |
Po Box 968 Abbeville SC 29620-0968 |
| Practice Telephone | 8643669681 |
| Practice Fax Number | 8643665600 |
| Mailing Telephone | 8643669681 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35680 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 356803 | 05 | |
| SC | MEDICARE GROUP PTAN | 423971 | 01 |
| SC | GROUP MEDICAID | RHC210 | 01 |
| SC | MEDICARE PTAN | 3255 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 W Greenwood St, Suite 9, Abbeville, SC 296205717 | 8643669681 |
| Street Address |
901 W GREENWOOD ST STE 1 |
| City | ABBEVILLE |
| State | SC |
| Zip Code | 29620-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618132 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717 | 2005-12-05 |
| 1578175170 | Abbeville County Memorial Hospital | Podiatrist | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2020-08-17 |
| 1437780053 | Sarah Rudder | Nurse Practitioner | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2020-02-01 |
| 1831557149 | Jennifer Wright | Nurse Practitioner | 901 W Greenwood St Ste 1, Abbeville, SC 29620 | 2016-02-01 |
| 1346610524 | Kayla Peterson Tavernier | Physician Assistant | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2015-10-01 |
| 1225305345 | Rebecca G Botts | Physician Assistant | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2011-11-17 |
| 1629371661 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717 | 2010-12-14 |
| 1275848020 | Julie Moore | Social Worker | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2010-08-17 |
| 1356570147 | Abbeville County Memorial Hospital | Surgery | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2009-07-14 |
| 1124194451 | Heidi Enejosa Rodillo | Internal Medicine | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851893325 | Janet Nancy Phelps | Registered Nurse | 486 Highway 72 E, Abbeville, SC 29620 | 2018-03-01 |
| 1467961128 | Marisol Palacios-cruz | Assisted Living Facility | 294 Highway 28 Bypass, Abbeville, SC 29620 | 2017-09-26 |
| 1740599703 | Larry Darnell Tompkins | Pharmacist | 763 Highway 28 Bypass, Fred's Pharmacy #1028, Abbeville, SC 29620 | 2010-09-24 |
| 1780861765 | Dixon Chiropractic | Chiropractor | 131-1 Highland Terrace, Abbeville, SC 29620 | 2008-01-22 |
| 1306999636 | Carolina Bone and Joint Clinic | Specialist | 2526 Highway 72 East, Abbeville, SC 29620 | 2007-01-19 |
| 1891877221 | Abbeville Urology | Specialist | 420 Thomson Circle, Abbeville, SC 29620 | 2006-10-19 |
| 1285747949 | Ashley Medical Transport Service | Ambulance | 940 Stevenson Rd, Abbeville, SC 29620 | 2006-08-16 |
| 1699707026 | Mark Marion Horton | Family Medicine | 92 Highway 72 West, Abbeville, SC 29620 | 2006-07-07 |
| 1063449361 | Abbeville County Memorial Hospital | Pharmacy | 420 Thomson Cir, Abbeville, SC 29620 | 2006-06-26 |
| 1265404743 | Abbeville County School District | Clinic/Center | 400 Greenville St., Abbeville, SC 29620 | 2006-02-07 |
| Find all providers in zip 29620 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508104803 | Ohio Valley Physicians | Family Medicine | 112 Whitehall St, Abbeville, SC 29620-2136 | 2013-01-21 |
| 1275829871 | Bridgett Heather Seagroves | Family Medicine | 1822 Monterey Rd, Abbeville, SC 29620-4659 | 2011-06-22 |
| 1154539518 | Claude H Meeks | Family Medicine | 2615 North Drive, Abbeville, LA 70510 | 2007-05-18 |
| 1396836045 | Vermilion Family Care | Family Medicine | 121 Tivoli Street, Suite A, Abbeville, LA 70510-4039 | 2006-09-27 |
| 1699707026 | Mark Marion Horton | Family Medicine | 92 Highway 72 West, Abbeville, SC 29620 | 2006-07-07 |
| 1558321786 | Richard Lewis Bendinger Jr. | Family Medicine | 615 Ozark Rd, Abbeville, AL 36310-2629 | 2006-03-23 |
| 1235116799 | Howard Alleman | Family Medicine | 304a N Hospital Dr, Abbeville, LA 70510-4041 | 2005-12-27 |
| 1902888407 | Richard V. Meadows | Family Medicine | 217 Dothan Rd, Abbeville, AL 36310-2836 | 2005-11-18 |
| 1467446161 | Marilyn Dianne Marshall | Family Medicine | 800 Charity St, Abbeville, LA 70510-5239 | 2005-09-08 |
| 1043213622 | Charles A. Kolb | Family Medicine | 901 W Greenwood St, Suite 9, Abbeville, SC 29620-5678 | 2005-05-27 |
| Find all providers in ABBEVILLE | ||||
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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.