Mark William Hodges, MD
Individual provider Active NPI Internal Medicine Physician · Washington Court House, OH
NPI 1710974209 · NPPES record last updated Mar 20, 2018
Key facts
- NPI
- 1710974209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35076874 (OH)
- Practice address
- 310 Washington SQ Ste a
Washington Court House, OH 43160-1751 - Phone
- (740) 333-6463
- Fax
- (740) 333-1726
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Ohio State University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trihealth G LLC
Wilmington Physicians Group LLC
Practice addresses (Care Compare)
2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000
310 Washington SQ
Suite a
Washington Court House, OH 43160-1751
Phone (740) 333-6463
Hospital & facility affiliations
- CMH Home Health Care
- Adena Home Health
- Heartland Hospice
- Hospice of Dayton
- Adena Fayette Medical Center
- Trihealth Clinton Regional Hospital
- Highland District Hospital
- Adena Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20100414000956 | OH | Practitioner - Internal Medicine | 0941240154 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35076874 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Physicians Group LLC | Current |
Accepting new patients | |
| Trihealth G LLC | Internal Medicine | Current |
Accepting new patients |
| Trihealth G, LLC | Current |
Accepting new patients | |
| Trihealth G LLC | Internal Medicine | Past | Accepting new patients |
Locations
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
310 Washington Sq
Ste A
Washington Court House, OH 43160
Phone (740) 333-6463
630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570
1450 Columbus Ave
Ste 201
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2862
Interoperability endpoints
- mark.hodges.2@6237.direct.athenahealth.com
- https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35076874 | OH | Yes |
Addresses
Primary practice location
310 Washington SQ Ste a
Washington Court House, OH 43160-1751
Mailing address
310 Washington SQ Ste a
Washington Court House, OH 43160-1751
Phone (740) 333-6463
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2137940 | Medicaid | OH |
Other providers in Washington Court House, OH
- Rachelle Delyn Hibbs
- Dinah Hicks
- Pamela Jean Hidy
- Kristina Lynn Higgins
- Lindsey Hill
- Todd K Hofacker
- Vesper Holdren
- Jacob C. Holloway
- Hospice of Fayette County Inc.
- Melissa Marie Hostetler
All providers in Washington Court House, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2018. 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.