Active NPI
Joanne Kimberlee Hodges, MD
- Emergency Medicine Physician
- Oakland, MD
National Provider Identifier
1083647267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D85274
- Practice address
- 251 N 4TH St
Oakland, MD 21550 - Phone
- (301) 533-4000
- Fax
- (301) 533-4208
- NPI assigned
- Jul 9, 2006
- Reactivated
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D85274 | MD | Primary |
Addresses
Primary practice location
251 N 4TH St
Oakland, MD 21550
Mailing address
PO Box 597
Oakland, MD 21550-4597
Phone (301) 533-4000
Other practice location 1
622 W 168 St Ph 1 137
Associates in Emergency Services CUMC
New York, NY 10032-3784
Phone (212) 305-2995
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083647267 | Medicaid | WV | |
| 472003200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1083647267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 597",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215504597",
"telephone_number": "301-533-4000",
"fax_number": "301-533-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N 4TH ST",
"city": "OAKLAND",
"state": "MD",
"postal_code": "21550",
"telephone_number": "301-533-4000",
"fax_number": "301-533-4208"
}
],
"practiceLocations": [
{
"address_1": "622 W 168 St Ph 1 137",
"address_2": "Associates in Emergency Services CUMC",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323784",
"country_code": "US",
"telephone_number": "212-305-2995",
"fax_number": "212-305-6792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODGES",
"first_name": "JOANNE",
"middle_name": "KIMBERLEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2018-09-27",
"deactivation_date": "2006-07-19",
"reactivation_date": "2006-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D85274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083647267",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "472003200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.