Christeen L Hodge, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0058877 Issued in CO

Practice address

3830 W 121St PL
Broomfield, CO 80020-7921

Phone

(303) 410-8041

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Arvada Pediatric Associates, PC

  • Pediatrics Physician
  • Arvada, CO
  • NPI 1215084652
  NPD (past)
• Arvada Pediatric Associates, PC

  • Pediatrics Physician
  • Broomfield, CO
  • NPI 1598433401
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194910372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W 121ST PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 121ST PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207921",
            "telephone_number": "303-410-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-6562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "CHRISTEEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "MS",
            "license": "T-1991",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "0058877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Joseph Hinrichs
• Colin Thomas Hirsch, DDS
• Natalie Hittmeier, LCSW
• Elise Aileen Hiza, MD
• Andrea Quynh Mai Hoang, MA, BCBA
• Kinsley Hodgson, AUD
• Amanda Hofeditz
• Shawnae Hoffman, MS, CCC-SLP
• Katherine Alexandra Holcomb-Shrader, LCSW
• Helen L Q Holden

• Pediatrics Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.