Wavell Constantine Hodge, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D31383 Issued in MD

Practice address

2094 Albany Post Rd
Montrose, NY 10548-1454

Phone

(914) 760-1622

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346342193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 CABINWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043128",
            "telephone_number": "301-384-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481454",
            "telephone_number": "914-760-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "WAVELL",
        "middle_name": "CONSTANTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D31383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karetha Henry, LMSW
• Heather Joy Hess, MPT
• Sandra Higgitt
• Elizabeth W Hittman, ANP
• Rachel Hochhauser
• Evelyn Yvette Holmes, MSW, LCSW
• Eleanor R Howells, N.P.
• Christina Hrynyk, RD
• Jennie Ching Hwang-Lu, LCSW, CASAC
• Elizabeth A Ianelli, LCSW

• Internal Medicine Physician in Montrose, NY
• Providers in Montrose, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.