Lauren Ashley Hodge, MD
Individual provider Active NPI Family Medicine Physician · N Muskegon, MI
NPI 1235718552 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1235718552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301512378 (MI)
- Practice address
- 2006 Holton Rd Ste 200
N Muskegon, MI 49445-1505 - Phone
- (231) 672-3333
- Fax
- (231) 672-6520
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Physician Network
Practice addresses (Care Compare)
2006 Holton Rd
Muskegon, MI 49445-1505
Phone (231) 672-3333
Hospital & facility affiliations
- Trinity Health at Home - Muskegon
- Trinity Health Muskegon Hospital
- Mercy Health Lakeshore Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240627003625 | MI | Practitioner - Family Practice | 2668875287 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Network | Family Medicine | Current |
Accepting new patients |
| Mercy Physician Network | Family Medicine | Current |
Accepting new patients |
Locations
2006 Holton Rd
Ste 200
North Muskegon, MI 49445
Phone (231) 672-3333
2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
Interoperability endpoints
- https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
- lhodge3483838@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301512378 | MI | Yes |
Addresses
Primary practice location
2006 Holton Rd Ste 200
N Muskegon, MI 49445-1505
Mailing address
2006 Holton Rd Ste 200
N Muskegon, MI 49445-1505
Phone (231) 672-3333
Other practice location 1
1101 W University Dr
Rochester, MI 48307-1863
Phone (313) 804-7004
NPI Registry JSON
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1235718552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 HOLTON RD STE 200",
"city": "N MUSKEGON",
"state": "MI",
"postal_code": "494451505",
"telephone_number": "231-672-3333",
"fax_number": "231-672-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 HOLTON RD STE 200",
"city": "N MUSKEGON",
"state": "MI",
"postal_code": "494451505",
"telephone_number": "231-672-3333",
"fax_number": "231-672-6520"
}
],
"practiceLocations": [
{
"address_1": "1101 W University Dr",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MI",
"postal_code": "483071863",
"country_code": "US",
"telephone_number": "313-804-7004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODGE",
"first_name": "LAUREN",
"middle_name": "ASHLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301512378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Muskegon, MI
- Desiree D Davis
- James R. Donley
- Theodore A Dorsey
- Lance Downs
- Craig W Elliott
- HPCN
- James R Donley DDS PLC
- Molly K Kriesel
- Howard M Leroux Jr.
- Michelle L. Piper, DDS, PLLC
All providers in N Muskegon, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.