Active NPI
Christina Kwon Hodgson, MD
- Anatomic Pathology & Clinical Pathology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 04-44491
- Practice address
- 200 Hawkins Dr
Dept of Pathology
Iowa City, IA 52242-1009 - Phone
- (319) 384-8054
- Fax
- (319) 467-5193
- NPI assigned
- Jun 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD-45909 | IA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2021013356 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 04-44491 | KS | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Dept of Pathology
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Dept of Pathology
Iowa City, IA 52242-1009
Phone (319) 384-8054
Other names 1
- Dr. Sook-Kyung Christina Kwon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220113000580 | MO | Practitioner - Pathology | 4486969904 | Reassigns benefits to 1 organization |
| I20220330002864 | KS | Practitioner - Pathology | 4486969904 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Irl Pathology Services Midamerica LLC
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5585
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4593
Hospital & facility affiliations
- Research Medical Center
- Centerpoint Medical Center
- Overland Park Reg Med Ctr
- Menorah Medical Center
- Lee'S Summit Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021013356 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irl Pathology Services Midamerica, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Kansas City, MO
- NPI 1497271480
Anatomic Pathology & Clinical Pathology, KS, MO
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1245611490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "DEPT OF PATHOLOGY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-384-8054",
"fax_number": "319-467-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "DEPT OF PATHOLOGY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-384-8054",
"fax_number": "319-467-5193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGSON",
"first_name": "CHRISTINA",
"middle_name": "KWON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-13",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IA",
"license": "MD-45909",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "2021013356",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KS",
"license": "04-44491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOOK-KYUNG",
"last_name": "KWON",
"middle_name": "CHRISTINA",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.