Fourth Tree Wellness PLLC

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

FOURTH TREE WELLNESS PLLC

Practice address

1800 Carlisle Rd
Camp Hill, PA 17011-5909

Phone

(717) 695-6104

Fax

(717) 297-6441

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Daniel Kenneth HodgeNPI 1295173235

Title

Managing Member, Owner

Phone

(717) 695-6104

Specialties & licenses 1

Addresses

Other names 1

• Fourth Tree Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Kenneth Hodge Jr., M.D.

  • Internal Medicine Physician
  • Camp Hill, PA
  • NPI 1295173235

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1851900328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CARLISLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170115909",
            "telephone_number": "717-695-6104",
            "fax_number": "717-297-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CARLISLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170115909",
            "telephone_number": "717-695-6104",
            "fax_number": "717-297-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURTH TREE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGING MEMBER, OWNER",
        "authorized_official_telephone_number": "717-695-6104"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fourth Tree Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ford
• Richard Foresman
• John A. Fornadley, M.D.
• Gretchen Dianne Forsley, MSN CNL RN-BC
• Katherine Antoinette Fournier, RN, BSN, CPHON, BMTC
• Maria Foust, LPN
• Dawn Fowler, MEDICAL ASSISTANT
• Mary Fox, LCSW
• Kylee Lynn Francis, RN
• Linda Francois, RN

• Obesity Medicine (Internal Medicine) Physician in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Obesity Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.