JACQUELINE CELESTE HODGE (NPI# 1205035607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205035607 |
| Entity Type | Individual |
| Full Name | JACQUELINE CELESTE HODGE |
| Credential | MD |
| Practice Address |
5001 Statesman Dr C/o Staffcare, Inc. Irving TX 75063-2414 |
| Mailing Address |
Porzellangasse 19/2/1 Vienna VIENNA 1090 AT |
| Practice Telephone | 8006852272 |
| Practice Fax Number | 9729830254 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
171821 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICAL LICENSE | 2005025948 | 01 |
| NY | MEDICAL LICENSE | 171821 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467886465 | Jacqueline Charmaine Hodge | Behavioral Analyst | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2013-08-26 |
| Street Address |
5001 STATESMAN DR C/O STAFFCARE, INC. |
| City | IRVING |
| State | TX |
| Zip Code | 75063-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497796742 | Kimberly Junice Norwood | Nurse Anesthetist, Certified Registered | 5001 Statesman Dr, Irving, TX 75063-2414 | 2006-06-09 |
| 1356808463 | Nicolas Civale | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2019-02-25 |
| 1336611391 | Angela Wehrle | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2018-12-31 |
| 1003343260 | Mary Elizabeth Vandeven | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2017-05-18 |
| 1760916639 | Stacy Cotteleer | Social Worker | 5001 Statesman Dr, Irving, TX 75063-2414 | 2017-04-17 |
| 1932650355 | Molly Whitted | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2016-10-20 |
| 1730544347 | Hallie Bennett | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2015-12-24 |
| 1174997969 | Wendy Meagher | Occupational Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2015-11-17 |
| 1003292640 | Peter Zatezalo | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2015-08-05 |
| 1295119527 | Samantha Jade Cheney | Occupational Therapy Assistant | 5001 Statesman Dr, Irving, TX 75063-2414 | 2015-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083959605 | James Newton Camak Jr. | Radiology | 3801 Acapulco Ct, Irving, TX 75062-6500 | 2012-12-07 |
| 1003161530 | Thomas Joe | Radiology | 3909 Acapulco St, Irving, TX 75062-6513 | 2012-07-20 |
| 1770893828 | Donald Leigh Oberlin | Radiology | 4743 Byron Circle, Irving, TX 75038 | 2010-10-07 |
| 1750456208 | Helen T Ramey | Radiology | 1209 Mosswood Ln, Irving, TX 75061-4525 | 2006-11-21 |
| 1356442040 | Jose Rivero | Radiology | 8411 Sterling St, Suite 101, Irving, TX 75063-1901 | 2006-09-26 |
| 1063439883 | Us Radiology Partners of Texas Inc | Radiology | 8411 Sterling Street, Irving, TX 33316 | 2006-07-16 |
| 1902830409 | Susan M Straten | Radiology | 2021 N Macarthur Blvd Ste 115, Irving, TX 75061-2210 | 2006-07-10 |
| 1184683757 | Craig B Mcardle | Radiology | 102 Decker Ct, Suite 205, Irving, TX 75062-2740 | 2006-03-21 |
| 1124094255 | Leonard Gross | Radiology | 1110 Cottonwood Lane, Suite 100, Irving, TX 75038 | 2006-02-28 |
| 1609848365 | Howard L Stoll | Radiology | 845 Main Rd, Irving, NY 14081-9706 | 2006-02-06 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.