Active NPI
David D Hodge MD PC
- Obstetrics & Gynecology Physician
- Troy, MI
National Provider Identifier
1992859425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301405955
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301405955 | MI | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 4301061638 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301078155 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 1467618694 | MI | |
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447367024 | Other | MI | DR. SHELLEY SAPICK NPI |
| 1477367024 | Other | MI | DR STEENKEN INDIVIDUAL NP |
| 1982644829 | Other | MI | DR HODGE INDIVIDUAL NPI |
| 1265648711 | Other | DR. ROSELYN DELA CRUZ NPI | |
| 1467618694 | Other | DR. MARY JORDAN NPI | |
| 1922039742 | Other | MI | DR KWAISER INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
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.