James R Hodges (NPI# 1215474762, PAC ID# 5991748840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215474762 |
| PAC ID by PECOS | 5991748840 |
| Professional Enrollment ID | I20170925000831 |
| Full Name | James R Hodges |
| Organization Legal Name | ST. LUKE'S HOSPITAL |
| Address |
702 1st St Sw Crosby ND 58730-0658 |
| Phone Number | 7019656349 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486565645 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 351325 | ST LUKE'S HOSPITAL |
| 351302 | MCKENZIE COUNTY HEALTHCARE SYSTEMS |
| Address | Phone | Organization |
|---|---|---|
| 702 1st St Sw, Crosby, ND 58730-0658 | 7019656349 | ST. LUKE'S HOSPITAL |
| Organization Legal Name | ST. LUKE'S HOSPITAL |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin J Krogh | Family Medicine | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
| Cori Randall | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
| Stanley R Stevens Jr. | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
| Christine L Knudsvig | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
| Street Address |
702 1ST ST SW |
| City | CROSBY |
| State | ND |
| Zip | 58730-0658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin J Krogh | Family Medicine | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
| Cori Randall | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
| Stanley R Stevens Jr. | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
| Christine L Knudsvig | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kami V Wehrman | Chiropractic | 106 N Main St, Box 7, Crosby, ND 58730-0007 | |
| Melissa F Nystuen | Clinical Social Worker | 17 S Main St, Crosby, ND 58730-0136 |
| City | CROSBY |
| Zip Code | 58730 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CROSBY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on James R Hodges.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.