Active NPI
Pamela S Hodges, M.D.
- Obstetrics & Gynecology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME134220
- Practice address
- 215 Imperial Blvd Ste B2
Lakeland, FL 33803-4689 - Phone
- (813) 684-2229
- Fax
- (813) 413-8507
- NPI assigned
- Oct 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 19018 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | ME134220 | FL | Primary |
Addresses
Primary practice location
215 Imperial Blvd Ste B2
Lakeland, FL 33803-4689
Mailing address
215 Imperial Blvd Ste B2
Lakeland, FL 33803-4689
Phone (813) 684-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64190184 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Paducah Wome's Clinic | Past | Accepting new patients | |
| St. Luke Hospitals Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| South Texas Medical Clinics, P.a. | Past | Accepting new patients | |
| South Texas Medical Clinics, P.a. | Past | Accepting new patients |
Locations
401 Oakfield Dr
Brandon, FL 33511
Phone (813) 467-4725
505 Oakfield Dr
Brandon, FL 33511
Phone (813) 676-2273
215 Imperial Blvd
Ste B2
Lakeland, FL 33803
Phone (813) 738-6688
1513 W Busch Blvd
Tampa, FL 33612
Phone (813) 738-6683
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Interoperability endpoints
- pamelahodges@pshmdpsc.allscriptsdirect.net
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75949
Organizations & group practices 5
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Nurse Practitioner
- Paducah, KY
- NPI 1114198561
-
- General Practice Physician
- East Bernard, TX
- NPI 1114077427
-
- General Practice Physician
- Wharton, TX
- NPI 1770688905
-
dba St. Luke Physicians for Women
- Obstetrics & Gynecology Physician
- Fort Thomas, KY
- NPI 1902910987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1396734448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 IMPERIAL BLVD STE B2",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034689",
"telephone_number": "813-684-2229",
"fax_number": "813-413-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 IMPERIAL BLVD STE B2",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034689",
"telephone_number": "813-684-2229",
"fax_number": "813-413-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "PAMELA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "19018",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME134220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64190184",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.