Nicole C Hodge MD PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

M7272 Issued in TX

Legal business name

NICOLE C HODGE MD PA

Practice address

1115 Philip Dr
Allen, TX 75013-3354

Phone

(214) 550-5399

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Kim R Sivaraman

Title

Billing Manager

Phone

(214) 550-5300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicole C Hodge, MD

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1548308653
  NPD (past)

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1154640480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 PHILIP DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133354",
            "telephone_number": "214-550-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 PHILIP DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133354",
            "telephone_number": "214-550-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE C HODGE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "SIVARAMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-550-5300"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M7272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kieu Nguyen
• Rachel Nguyen
• Steven Nguyen
• Jennifer Nicholson, MOT, OTR/L, CLT
• Mary Trotty Nickson, PH.D.
• Michael John Niederkorn, O.D.
• Michelle Holman Nietert, LPC
• Dipali Kedar Nigudkar, DMD
• Diane Nik, DDS
• Gina Rose Bathurst Nord, MD

• Anesthesiology Physician in Allen, TX
• Providers in Allen, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.