Active NPI
Glenn Ross Hodges, MD
- Infectious Disease Physician
- Overland Park, KS
National Provider Identifier
1508208083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 04-15727
- Practice address
- 7171 W 95TH St
Overland Park, KS 66212-2283 - Phone
- (913) 648-2266
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 04-15727 | KS | Primary |
Addresses
Primary practice location
7171 W 95TH St
Overland Park, KS 66212-2283
Mailing address
12604 W 101St Ter
Lenexa, KS 66215-1814
Phone (913) 888-0957
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-15727 | KS | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1508208083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12604 W 101ST TER",
"city": "LENEXA",
"state": "KS",
"postal_code": "662151814",
"telephone_number": "913-888-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 W 95TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662122283",
"telephone_number": "913-648-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "GLENN",
"middle_name": "ROSS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "KS",
"license": "04-15727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.