Michael E Hodges, M.D.
Individual provider Active NPI Family Medicine Physician · Mountain Home, AR
NPI 1679547608 · NPPES record last updated Nov 18, 2009
Key facts
- NPI
- 1679547608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E-1415 (AR)
- Practice address
- 614 North Town
Mountain Home, AR 72653-3105 - Phone
- (870) 425-3131
- Fax
- (870) 425-3136
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Central Arkansas Medical Associates
Practice addresses (Care Compare)
614 N Town
Mountain Home, AR 72653-3105
Phone (870) 425-3131
Hospital & facility affiliations
- Baxter Health Home Health
- Elite Home Health
- Elite Home Health
- Centerwell Home Health
- Baxter Health Home Health Marion County
- Baxter Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040819001338 | AR | Practitioner - Family Practice | 5799758488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-1415 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-1415 | AR | Yes |
Addresses
Primary practice location
614 North Town
Mountain Home, AR 72653-3105
Mailing address
614 North Town
Mountain Home, AR 72653-3105
Phone (870) 425-3131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132891001 | Medicaid | AR |
NPI Registry JSON
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1679547608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 NORTH TOWN",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533105",
"telephone_number": "870-425-3131",
"fax_number": "870-425-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 NORTH TOWN",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533105",
"telephone_number": "870-425-3131",
"fax_number": "870-425-3136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-1415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132891001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
- Derek Hinson
- Melissa Hinson
- Corinne Hiser
- Faye Hixson
- Lacey Hlass
- Melinda Rose Hoffman
- Katie Holland
- Rachel Hollingsworth
- Sierra Ann Hollis
- Gemma Hollmann
All providers in Mountain Home, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.