J . Timothy Hodges, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C-5203 Issued in AR

Practice address

11415 Executive Center Drive
Little Rock, AR 72211-4489

Phone

(501) 224-5220

Fax

(501) 228-9828

NPI assigned

Jun 21, 2005

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1902802465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 EXECUTIVE CENTER DRIVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114489",
            "telephone_number": "501-224-5220",
            "fax_number": "501-228-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 EXECUTIVE CENTER DRIVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114489",
            "telephone_number": "501-224-5220",
            "fax_number": "501-228-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "J . TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-5203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080008954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "11164000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01-20103",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105361001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hodge Orthodontics West PLLC
• Alleigh Hodge, MD
• Ann Marie Estes Hodge, DNP
• Natalia Hodge, DDS, MS
• Anissa Hodges, M.D.
• Rose Ann Hodges, APN
• Cynthia Ellen Hodnett, RD, CDE
• Kylie Hodnett
• Lindsay Christine Hoelzeman, M.S., CCC-SLP
• Joshua Grant Hoepner

• Family Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.