David S Hodge MD Inc

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

DAVID S HODGE MD INC

Practice address

215 North Fresno Street, Suite 370
Suite 370
Fresno, CA 93721-0998

Phone

(559) 495-4543

Fax

(559) 459-1539

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. David Stanton Hodge, MDNPI 1063471746

Title

President

Phone

(559) 440-9740

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David S. Hodge, M.D.

  • Pediatric Surgery Physician
  • Fresno, CA
  • NPI 1063471746
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1124646112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W BULLARD AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120998",
            "telephone_number": "559-440-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NORTH FRESNO STREET, SUITE 370",
            "address_2": "SUITE 370",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937210998",
            "telephone_number": "559-495-4543",
            "fax_number": "559-459-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S HODGE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-440-9740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David R. Sivas
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• Flora Gopez David, NP
• Jaclyn Davidson
• Katelyn Davidson
• Kristina Tarango Davidson, AGACNP

• Pediatric Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatric Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.