Larry Hodson, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO 1128 Issued in FL

Practice address

2201 Jenks Ave
Panama City, FL 32405-4531

Phone

(850) 769-0325

Fax

(850) 769-4476

NPI assigned

Aug 9, 2006

Last updated

Feb 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayne Jones Army Community Hospital

  • Family Medicine Physician
  • Niceville, FL
  • NPI 1831586312

  Podiatrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1003826306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054531",
            "telephone_number": "850-769-0325",
            "fax_number": "850-769-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054531",
            "telephone_number": "850-769-0325",
            "fax_number": "850-769-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODSON",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1128",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 1128",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 1128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "061666115",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CK8386",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF FL",
            "identifier": "87594",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHEIL GROUP",
            "identifier": "45803",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480035195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Hixson, R
• Hni Hospital Services of Florida, LLC
• Nghia T Hoang, D.O.
• Trang Vu Hoang
• Seaborn Allen Hobbs
• Kara Michelle Hogue
• Kathleen Georgia Hogue, RN
• Darlene Hattie Holbert, RN
• Holiday CVS LLC (CVS Pharmacy 05204)
• Holiday CVS LLC (CVS Pharmacy #4500)

• Foot Surgery Podiatrist in Panama City, FL
• Providers in Panama City, FL by specialty
• Foot Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.