Mark Gunther Hodge, MS,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

362373-4102 Issued in UT

Practice address

527 W 400 N
Orem, UT 84057-1916

Phone

(801) 714-3505

Fax

(801) 714-3520

NPI assigned

Jan 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Orem, UT
  • NPI 1588601124
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1942548060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N 400 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571913",
            "telephone_number": "801-714-3505",
            "fax_number": "801-714-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571916",
            "telephone_number": "801-714-3505",
            "fax_number": "801-714-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "MARK",
        "middle_name": "GUNTHER",
        "name_prefix": "Mr.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "362373-4102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870269232033",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Hintze
• Eliza Hobbs
• Taylor Hobbs
• Benjamin Hobby
• Kevin Wesley Hockersmith, D.C
• Kathleen Slade Hofer, M.A.P.C., C.P.C.E.
• Campbell Hofstetter
• Emma Sherin Hoggard
• McCall Holbrook
• Holladay Pharmaceutical LLC

• Speech-Language Pathologist in Orem, UT
• Providers in Orem, UT by specialty
• Speech-Language Pathologist in Utah

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