SUSAN M. HODGE (NPI# 1942305156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942305156 |
| Entity Type | Individual |
| Full Name | SUSAN M. HODGE |
| Other Name | SUSAN M. STRATTON |
| Credential | P.A.-C. |
| Practice Address |
602 Knox St Barbourville KY 40906-1304 |
| Practice Telephone | 6065466027 |
| Practice Fax Number | 6065462084 |
| Mailing Telephone | 6065466027 |
| Mailing Fax Number | 6065462084 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA896 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA896 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100120360 | 05 | |
| KY | RR MEDICARE | P01439763 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649315557 | Susan Helaine Hodge | Dentist | 25501 Brainard Avenue, Fort Gordon, GA 30905 | 2007-02-20 |
| 1609921865 | Susan Fay Hodge | Registered Nurse | 185 Justice Center Dr., Rutledge, TN 37861 | 2007-01-25 |
| 1831209543 | Susan Hodge | Physical Therapy Assistant | 7909 Pat Booker Rd, Live Oak, TX 78233-2602 | 2006-08-30 |
| Street Address |
602 KNOX ST |
| City | BARBOURVILLE |
| State | KY |
| Zip Code | 40906-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892720 | Paul Christen Pedersen | General Practice | 602 Knox St, Barbourville, KY 40906-1304 | 2005-12-15 |
| 1780170795 | Heather Renee Cloud | Nurse Practitioner | 602 Knox St, Barbourville, KY 40906-1304 | 2018-07-03 |
| 1184119398 | Baptist Health Medical Group Inc | Clinic/Center | 602 Knox St, Barbourville, KY 40906-1304 | 2018-06-29 |
| 1265820245 | Cynthia Goodin | Nurse Practitioner | 602 Knox St, Barbourville, KY 40906-1304 | 2014-12-29 |
| 1053540674 | Michelle Louise Broughton | Nurse Practitioner | 602 Knox St, Barbourville, KY 40906-1304 | 2009-07-02 |
| 1992832695 | Knox Family Medicine | Physical Therapist | 602 Knox St, Barbourville, KY 40906-1304 | 2007-02-28 |
| 1528138229 | Knox Family Medicine Psc | Dietitian, Registered | 602 Knox St, Barbourville, KY 40906-1304 | 2006-11-09 |
| 1275583262 | Kathleen P. Flynn | Physician Assistant | 602 Knox St, Knox Family Medicine, Barbourville, KY 40906-1304 | 2006-05-11 |
| 1710966411 | Gynger Marie Adams | Physical Therapist | 602 Knox St, Barbourville, KY 40906-1304 | 2006-01-11 |
| 1144206392 | James Radford West Jr. | Family Medicine | 602 Knox St, Barbourville, KY 40906-1304 | 2005-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187334 | Barbourville Prescription Center, LLC | Pharmacy | 1881 South U.S. Highway 25e, Barbourville, KY 40906 | 2020-02-28 |
| 1992368617 | Carolyn Disney Byble | Counselor | 1909 Hwy. 3439, Barbourville, KY 40906 | 2019-04-18 |
| 1386139111 | Amy Lynn Mills | Adult Companion | 12 Knox Plaza, Barbourville, KY 40906 | 2018-06-25 |
| 1457858250 | Angela Turner | Nurse Practitioner | 1927 Us S Hwy 25e, Barbourville, KY 40906 | 2018-04-09 |
| 1376049437 | Kalee Elizabeth Howard | Case Manager/Care Coordinator | 415 Highway 225, Barbourville, KY 40906 | 2018-04-05 |
| 1063949303 | Robin Renee Carr | Counselor | 415 Ky Hwy 225, Barbourville, KY 40906 | 2017-05-17 |
| 1770940736 | Jennifer Nicole James | Case Manager/Care Coordinator | 415 Ky 225, Barbourville, KY 40906 | 2016-01-21 |
| 1891116455 | Glenna Bargo | Nurse Practitioner | 728 S Us Highway 25e Loop Number 2, Loop Number 2, Barbourville, KY 40906 | 2013-12-30 |
| 1275883050 | Brian Keith Abner | Physician Assistant | 215 North Allison Avenue, Barbourville, KY 40906 | 2012-09-19 |
| 1558660944 | Sleep Diagnostics of Kentucky, Inc | Clinic/Center | 606a Knox Street, Barbourville, KY 40906 | 2011-03-24 |
| Find all providers in zip 40906 | ||||
| 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 |
|---|---|---|---|---|
| 1275883050 | Brian Keith Abner | Physician Assistant | 215 North Allison Avenue, Barbourville, KY 40906 | 2012-09-19 |
| 1386274850 | Cassie Renee Tye | Physician Assistant | 215 N Allison Ave, Barbourville, KY 40906-1336 | 2020-01-23 |
| 1982044616 | Stuart G Mack | Physician Assistant | 215 N Allison Ave, Barbourville, KY 40906-1336 | 2013-06-26 |
| 1023355237 | Matthew David Webb | Physician Assistant | 215 N Allison Ave, Barbourville, KY 40906-1336 | 2013-01-08 |
| 1275583262 | Kathleen P. Flynn | Physician Assistant | 602 Knox St, Knox Family Medicine, Barbourville, KY 40906-1304 | 2006-05-11 |
| 1033195151 | Sarah Mae Mills | Physician Assistant | 215 N Allison Ave, Barbourville, KY 40906-1336 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1780282095 | Alison Deanne Power | Physician Assistant | 3209 Keithshire Way, Lexington, KY 40503-3481 | 2020-10-09 |
| 1225635691 | Mark Douglas Crawford II | Physician Assistant | 1288 Wyan Rd, London, KY 40744-9052 | 2020-10-07 |
| 1114524188 | Dustin Scott Ammerman | Physician Assistant | 682 Reed Rd, London, KY 40741-8662 | 2020-10-02 |
| 1588270110 | Reid Van Bussum | Physician Assistant | 913 Fiddler Creek Way, Lexington, KY 40515-6460 | 2020-09-18 |
| 1568077808 | Breanna Larae Damron | Physician Assistant | 1128 Ramey Ave, Worthington, KY 41183-9229 | 2020-09-14 |
| 1477168169 | Eleshia Stephenie Sumner | Physician Assistant | 252 Sargent Rd, Pine Knot, KY 42635 | 2020-09-10 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1902417389 | Kassandra Nicole Neltner | Physician Assistant | 2720 Marlo Way, Lakeside Park, KY 41017-2149 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | BARBOURVILLE |
| Zip Code | 40906 |
Please comment or provide details below to improve the information on SUSAN M. 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.