Organization Active NPI

Cheryl Hodges MD

  • Psychiatry Physician
  • Wasilla, AK
National Provider Identifier
1932543691
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6369 Issued in AK
Legal business name
CHERYL HODGES MD
Practice address
1365 E Parks Hwy
Suite 202
Wasilla, AK 99654-8284
Phone
(907) 357-9920
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Dr. Cheryl Hodges, M.D
Title
Owner/Provider
Phone
(907) 276-2978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 6369 AK Primary

Addresses

Primary practice location

1365 E Parks Hwy
Suite 202
Wasilla, AK 99654-8284

Mailing address

1365 E Parks Hwy
Suite 202
Wasilla, AK 99654-8284
Phone (907) 357-9920

National Provider Directory

National Provider Directory

Locations

1365 E Parks Hwy
Ste 202
Wasilla, AK 99654
Phone (907) 357-9920

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1932543691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 E PARKS HWY",
            "address_2": "SUITE 202",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548284",
            "telephone_number": "907-357-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 E PARKS HWY",
            "address_2": "SUITE 202",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548284",
            "telephone_number": "907-357-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL HODGES MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "907-276-2978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "6369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.