Individual provider Active NPI

James R Hodge, DO

  • Colon & Rectal Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1992998819
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
02003140B Issued in IN
Practice address
3520 Guion Rd
Suite 307
Indianapolis, IN 46222
Phone
(317) 923-1033
Fax
(317) 927-7426
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 02003140B IN Primary

Addresses

Primary practice location

3520 Guion Rd
Suite 307
Indianapolis, IN 46222

Mailing address

3520 Guion Rd
#307
Indianapolis, IN 46222
Phone (317) 923-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02003140BINMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David T. Harrison, D.O.,P.C. Colon & Rectal Surgery Past Accepting new patients
Decoach Team LLC PastSince Mar 18, 2017 Accepting new patients
Indianapolis Osteopathic Hospital, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1992998819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GUION RD",
            "address_2": "#307",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46222",
            "telephone_number": "317-923-1033",
            "fax_number": "317-927-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GUION RD",
            "address_2": "SUITE 307",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46222",
            "telephone_number": "317-923-1033",
            "fax_number": "317-927-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "02003140B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.