Individual provider Active NPI

William Andrew Hodge, M.D.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1811933518
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME49712 Issued in FL
Practice address
3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523
Phone
(239) 277-7070
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD191113 ME
Orthopaedic Surgery Physician 207X00000X ME49712 FL Primary

Addresses

Primary practice location

3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523

Mailing address

3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523
Phone (239) 277-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000086 FL Practitioner - Orthopedic Surgery 8921077629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD191113MEMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Orthopedics LLC Orthopaedic Surgery CurrentSince Jun 1, 2020 Accepting new patients
Gardner Orthopedics, LLC CurrentSince Jun 1, 2020 Accepting new patients
Hodge Florida Orthopedics LLC PastSince Jan 1, 2011 Accepting new patients
HB Medical LLC Orthopaedic Surgery PastSince Oct 23, 2008 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine Past Accepting new patients
Palm Beach Orthopaedic Institute PA Orthopaedic Surgery Past Accepting new patients
Eastern Maine Medical Center Past Accepting new patients

Locations

3033 Winkler Ave
Unit 100
Fort Myers, FL 33916
Phone (239) 277-7070

Interoperability endpoints

  • Direct secure messaging: ahodge@go2078.srs-direct.com
  • FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1811933518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVE UNIT 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169523",
            "telephone_number": "239-277-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVE UNIT 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169523",
            "telephone_number": "239-277-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "MD191113",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME49712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.