BENJAMIN HODGES (NPI# 1790266971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790266971 |
| Entity Type | Individual |
| Full Name | BENJAMIN HODGES |
| Credential | PA-C |
| Practice Address |
245 S Gary Ave Bloomingdale IL 60108-2228 |
| Practice Telephone | 6308935230 |
| Mailing Telephone | 6308935230 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.006721 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085.006721 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085.006721 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518183870 | Benjamin Jemison Hodges | Dentist | 4400 Bayou Blvd Ste 3a, Pensacola, FL 32503-1905 | 2007-04-17 |
| 1033621677 | Benjamin Michael Hodges | Physical Therapist | 12281 Moneta Rd Ste B, Moneta, VA 24121-6402 | 2017-11-03 |
| Street Address |
245 S GARY AVE |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921952 | Pahcs II | Clinic/Center | 245 S Gary Ave, Ste 101, Bloomingdale, IL 60108-2228 | 2005-09-08 |
| 1568945509 | Katherine Ann Collins | Registered Nurse | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2018-09-14 |
| 1841748167 | Viviana Rivera | Nurse Practitioner | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2016-09-15 |
| 1487039400 | Ximena Bravo | Social Worker | 245 S Gary Ave, Suite Ll, Bloomingdale, IL 60108-2228 | 2015-07-21 |
| 1427447713 | Tri Colin Cong Tran | Physician Assistant | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2015-01-09 |
| 1326436767 | Michael Vosicky Do Family Healthcare LLC | Family Medicine | 245 S Gary Ave, Suite 204, Bloomingdale, IL 60108-2228 | 2015-01-08 |
| 1225438278 | Jenny Koshy | Nurse Practitioner | 245 S Gary Ave, Suite 100, Bloomingdale, IL 60108-2228 | 2014-08-27 |
| 1467873174 | Victor Ferenzi | Physical Therapist | 245 S Gary Ave, Suite 101, Bloomingdale, IL 60108-2228 | 2013-12-23 |
| 1124384789 | Kavita Shanker-patel | Family Medicine | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2012-04-09 |
| 1518251149 | Tally Lynn Hollin | Nurse Practitioner | 245 S Gary Ave, Lower Level, Bloomingdale, IL 60108-2228 | 2011-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| 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 |
|---|---|---|---|---|
| 1326158197 | Hedoneia Jaaj | Physician Assistant | 34 A Main Street, Bloomingdale, NJ 07403 | 2006-08-30 |
| 1629020672 | Alicia Ann Johnson | Physician Assistant | 121 Fairfield Way Ste 207, Ste 207, Bloomingdale, IL 60108-1559 | 2006-05-17 |
| 1255962445 | Kevin Joseph Serrano | Physician Assistant | 245 S Gary Ave Lowr Level, Bloomingdale, IL 60108-2228 | 2020-01-28 |
| 1386092286 | Mayya Woodall | Physician Assistant | 211 E Army Trail Rd, Bloomingdale, IL 60108-2105 | 2016-06-01 |
| 1275909392 | Frederick Knight Hayden Jr. | Physician Assistant | 220 Springfield Dr, Bloomingdale, IL 60108 | 2015-08-12 |
| 1184951469 | Home Care Physicians, Inc. | Physician Assistant | 290 Springfield Dr, Suite 225, Bloomingdale, IL 60108-2214 | 2009-11-07 |
| 1568699452 | Uzma Nosheen | Physician Assistant | 121 Fairfield Way Ste 207, Bloomingdale, IL 60108-1559 | 2009-06-17 |
| 1033384961 | Gurvinder S Herlihy | Physician Assistant | 303 E Army Trail Rd Ste 403, Bloomingdale, IL 60108-2155 | 2008-04-22 |
| 1306026935 | Sara K Zidlicky | Physician Assistant | 290 Springfield Dr, Suite 290, Bloomingdale, IL 60108-2214 | 2007-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
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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.