Organization Active NPI

David D Hodge MD PC

  • Obstetrics & Gynecology Physician
  • Troy, MI
National Provider Identifier
1992859425
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301405955 Issued in MI
Legal business name
DAVID D HODGE MD PC
Practice address
44199 Dequindre Rd
Suite 415
Troy, MI 48085-1128
Phone
(248) 964-6061
Fax
(248) 964-6054
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
David D Hodge, MD
Title
President
Phone
(248) 964-6061

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 4301405955 MI Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 4301061638 MI
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 4301078155 MI
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 1467618694 MI
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 1265648711 MI

Addresses

Primary practice location

44199 Dequindre Rd
Suite 415
Troy, MI 48085-1128

Mailing address

44199 Dequindre Rd
Suite 415
Troy, MI 48085-1128
Phone (248) 964-6061

Other identifiers 6

IdentifierTypeStateIssuer
1447367024OtherMIDR. SHELLEY SAPICK NPI
1477367024OtherMIDR STEENKEN INDIVIDUAL NP
1982644829OtherMIDR HODGE INDIVIDUAL NPI
1265648711OtherDR. ROSELYN DELA CRUZ NPI
1467618694OtherDR. MARY JORDAN NPI
1922039742OtherMIDR KWAISER INDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

44199 Dequindre Rd
Ste 415
Troy, MI 48085
Phone (248) 964-5129

44199 Dequindre Rd
Ste 203
Troy, MI 48085
Phone (248) 828-6061

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1992859425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD",
            "address_2": "SUITE 415",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-964-6061",
            "fax_number": "248-964-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD",
            "address_2": "SUITE 415",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-964-6061",
            "fax_number": "248-964-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D HODGE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-964-6061",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301405955",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301061638",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301078155",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "1467618694",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "1265648711",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. SHELLEY SAPICK NPI",
            "identifier": "1447367024",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR STEENKEN INDIVIDUAL NP",
            "identifier": "1477367024",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR HODGE INDIVIDUAL NPI",
            "identifier": "1982644829",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ROSELYN DELA CRUZ NPI",
            "identifier": "1265648711",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MARY JORDAN NPI",
            "identifier": "1467618694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR KWAISER INDIVIDUAL NPI",
            "identifier": "1922039742",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.