Hodges Surgical Clinic, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HODGES SURGICAL CLINIC, P.A.

Practice address

2854 Highway 55
Suite #130
Eagan, MN 55121-2156

Phone

(651) 842-3329

NPI assigned

Aug 21, 2007

Last updated

Aug 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leroy W Hodges, M.D.NPI 1700856432

Title

President

Phone

(651) 224-4930

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leroy W Hodges, M.D.

  • Surgery Physician
  • Harlan, IA
  • NPI 1700856432
  NPD (past) Authorized official

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1316130560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 HIGHWAY 55",
            "address_2": "SUITE #130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212156",
            "telephone_number": "651-842-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 HIGHWAY 55",
            "address_2": "SUITE #130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212156",
            "telephone_number": "651-842-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGES SURGICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-224-4930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "129703",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonara Ton Hing, APRN, CNP
• Erin Hingst, RN
• Manuel Hinojosa Jr.
• Lori Jane Hinz, LICSW
• James P Hobday, ACSW LICSW
• Dale Hoeffel, DDS
• Carol Jean Hoepner, RN
• Francine Maria Hoffman, MS RD LN CSSD CSCS
• Maria Hoffman, CRNP
• Colin Hollidge, PHD LISCW

• Clinic/Center in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.