Organization Active NPI

Melvin D Hodde DO LLC

Doing business as Pierce City Medical Clinic

  • General Practice Physician
  • Pierce City, MO
National Provider Identifier
1598102741
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DO R5P19 Issued in MO
Legal business name
MELVIN D HODDE DO LLC
Doing business as
Pierce City Medical Clinic
Practice address
101 N Elm St
Suite E
Pierce City, MO 65723-1218
Phone
(417) 476-7201
Fax
(417) 476-7203
NPI assigned
May 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Dr. Melvin Dee Hodde, D.O.
Title
Provider
Phone
(417) 476-7201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X DO R5P19 MO Primary

Addresses

Primary practice location

101 N Elm St
Suite E
Pierce City, MO 65723-1218

Mailing address

101 N Elm St
Suite E
Pierce City, MO 65723-1218
Phone (417) 476-7201

Other names 1

  • Pierce City Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

101 N Elm St
Ste E
Pierce City, MO 65723
Phone (417) 476-7201

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1598102741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N ELM ST",
            "address_2": "SUITE E",
            "city": "PIERCE CITY",
            "state": "MO",
            "postal_code": "657231218",
            "telephone_number": "417-476-7201",
            "fax_number": "417-476-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N ELM ST",
            "address_2": "SUITE E",
            "city": "PIERCE CITY",
            "state": "MO",
            "postal_code": "657231218",
            "telephone_number": "417-476-7201",
            "fax_number": "417-476-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN D HODDE DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "HODDE",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "417-476-7201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MO",
            "license": "DO R5P19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce City Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pierce City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.