Mark P Hodgkin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01032194A Issued in IN

Practice address

5839 E Washington St
Indianapolis, IN 46219

Phone

(317) 353-9777

Fax

(317) 357-6922

NPI assigned

Nov 18, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St. Francis Hospital and Health Centers

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1093744963
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1528040102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664056",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462664056",
            "telephone_number": "317-353-9777",
            "fax_number": "317-357-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46219",
            "telephone_number": "317-353-9777",
            "fax_number": "317-357-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGKIN",
        "first_name": "MARK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032194A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100188530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Hodge
• Amanda F Hodges, MSW
• Benjamin M Hodges, DPT
• Cherell Hodges
• Will Hodges Jr., CMT
• Deborah H Hodson, LMHC
• Kaylin Hodson
• Emma Rose Hoefer, CNM
• Austin David Hoefling, PHARMD
• Lindsay Kathryn Hoefling, PHARMD, BCPS

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.