Dylan Hodill, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9109021 Issued in FL

Practice address

2727 W Dr. Martin Luther King Jr. Blvd
Ste 460
Tampa, FL 33607

Phone

(813) 879-4328

NPI assigned

Feb 5, 2016

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

Physician Assistant

State licenses

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1366800252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR. MARTIN LUTHER KING JR. BLVD",
            "address_2": "STE 460",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-879-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR. MARTIN LUTHER KING JR. BLVD",
            "address_2": "STE 460",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-879-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODILL",
        "first_name": "DYLAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9109021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarvis A. Hodges, L.M.H.C
• Krista Hodges, M.A. CCC-SLP
• Richard Pentreath Hodges, MD
• Katherine E Hodgin, M.D.
• Sharon Lenore Hodgson, A.P.P.A.
• Pamela Hodul, MD
• Ryan Norwood Hoecker, M.D.
• Danielle Hoeffner, D.C.
• Taylor Hoeffner
• Terry Glenn Hoehne, MD

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.