Charles J Hodge Jr., MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

108474 Issued in NY

Practice address

725 Irving Ave
Suite 503
Syracuse, NY 13210-1603

Phone

(315) 464-4470

Fax

(315) 464-5520

NPI assigned

Aug 10, 2005

Last updated

Jun 17, 2008By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurosurgical Associates of Central New York, LLP

  • Durable Medical Equipment & Medical Supplies
  • Syracuse, NY
  • NPI 1346384435
  NPD (past)
• Upstate Neurosurgery LLP

  • Neurological Surgery Physician
  • Syracuse, NY
  • NPI 1497788574
  NPD (past)
• University of Maryland Neurosurgery Associates P a

  • Neurological Surgery Physician
  • Columbia, MD
  • NPI 1639119035
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1598766685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "613 JACOBSEN HALL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-6505",
            "fax_number": "315-464-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 503",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-4470",
            "fax_number": "315-464-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "108474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00462226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Elizabeth Hobson, MD
• Reuben M Hoch, MD
• Nancy Hochreiter
• Wendy Hockenbary, LMHC
• Dashawna Hocketta, DNP, CRNA
• Peter L Hodge
• Deeceisha Hodges-Bennett, LPN
• Cassandra Hodgson, MSW
• James W. Hodgson, PH.D.
• George D Hoeft II, MD

• Neurological Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.