Active NPI
Christine Anne Hodge, P.A.
- Medical Physician Assistant
- Roanoke, VA
National Provider Identifier
1346204849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110001730
- Practice address
- 101 Elm Ave SE
Roanoke, VA 24013-2222 - Phone
- (540) 985-8000
- Fax
- (540) 981-9550
- NPI assigned
- Apr 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110001730 | VA | Primary |
Addresses
Primary practice location
101 Elm Ave SE
Roanoke, VA 24013-2222
Mailing address
PO Box 2080
Kilmarnock, VA 22482-2080
Phone (804) 435-3508
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010234743 | Medicaid | VA | |
| 010234859 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110001730 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braeburn Emergency Physicians LLC | Past | Accepting new patients |
Interoperability endpoints
- christine.hodge@hca6.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Salem, VA
- NPI 1467888263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1346204849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2080",
"city": "KILMARNOCK",
"state": "VA",
"postal_code": "224822080",
"telephone_number": "804-435-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ELM AVE SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240132222",
"telephone_number": "540-985-8000",
"fax_number": "540-981-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "CHRISTINE",
"middle_name": "ANNE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110001730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010234743",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010234859",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.