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

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (109 clinicians)

Practice addresses (Care Compare)

2006 Holton Rd
Muskegon, MI 49445-1505
Phone (231) 672-3333

Hospital & facility affiliations

  • Trinity Health at Home - Muskegon Home health agency · Muskegon, MI · CCN 237198
  • Trinity Health Muskegon Hospital Hospital · Muskegon, MI · CCN 230066
  • Mercy Health Lakeshore Campus Hospital · Shelby, MI · CCN 231320

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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 IDStateProvider typePAC IDDetails
I20240627003625 MI Practitioner - Family Practice 2668875287 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Network Family Medicine Current
since Jul 1, 2024
Accepting new patients
Mercy Physician Network Family Medicine Current
since Jul 1, 2024
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

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lhodge3483838@direct.trinity-health.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2024.

{
    "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

All providers in N Muskegon, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.