ROBERT A HODGE (NPI# 1861438590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861438590 |
| Entity Type | Individual |
| Full Name | ROBERT A HODGE |
| Credential | PA-C |
| Practice Address |
155 Memorial Dr Pinehurst NC 28374-8710 |
| Mailing Address |
Po Box 843257 Boston MA 02284-3257 |
| Practice Telephone | 9107154111 |
| Practice Fax Number | 9107154101 |
| Mailing Telephone | 9107154111 |
| Mailing Fax Number | 9107154101 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
03646 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 0191260 | 01 |
| WA | 8348690 | 05 | |
| WA | CRIME VICTIMS | 8939674 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639186174 | Robert E. Hodge II | Pharmacist | 320 W Kingshighway, Paragould, AR 72450-4229 | 2006-08-01 |
| 1053349548 | Robert A Hodge | Pharmacist | 112 Boonewood Private Dr, Piney Flats, TN 37686-3611 | 2006-06-30 |
| 1164471421 | Robert Henry Hodge | Internal Medicine | 2764 Browns Gap Tpke, Charlottesville, VA 22901-5112 | 2006-05-06 |
| 1578632006 | Robert W Hodge | Family Medicine | 6411 Veterans Memorial Parkway, Creestwood, KY 40014-8611 | 2006-11-07 |
| 1831298942 | Robert G Hodge | Surgery | 5668 E State St, Rockford, IL 61108-2464 | 2006-09-22 |
| 1215989173 | Robert Wayne Hodge | Surgery | 160 East Ave, Lockport, NY 14094-3835 | 2006-05-17 |
| Street Address |
155 MEMORIAL DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355406 | Steven P Michael | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2005-06-08 |
| 1497373435 | Brittany Nicole Trethewey | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-07-07 |
| 1972120798 | Brittany Cherish Atkinson | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-06-27 |
| 1497375273 | Patricia Fisher | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-04-21 |
| 1952941031 | Jonathon P Portincasa | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-07 |
| 1992344121 | Karen Hayes | Dietitian, Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-06 |
| 1679119499 | Mcpc-5, LLC | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-11-27 |
| 1215572540 | Karen Boston | Dietitian, Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-11-11 |
| 1063063766 | Michelle Marie Trexler | Nurse Practitioner | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-09-24 |
| 1912489725 | Viridiana C Morman | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720294408 | Matthew Patrick Mooney | Physician Assistant | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2007-05-16 |
| 1598779399 | Robert Michael Keller | Physician Assistant | 5 First Village Dr, Pinehurst, NC 28374-8724 | 2006-07-28 |
| 1043241763 | James C Nichols | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2006-07-05 |
| 1184652950 | Chad A Frazer | Physician Assistant | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
| 1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
| 1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
| 1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
| 1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROBERT A HODGE.
| 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.