ALEXEY HODKOFF (NPI# 1215305792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215305792 |
| Entity Type | Individual |
| Full Name | ALEXEY HODKOFF |
| Credential | MD |
| Practice Address |
5225 23rd Ave S Fargo ND 58104-7927 |
| Mailing Address |
15 Medical Dr Ste 1100 Salt Lake City UT 84112-1100 |
| Practice Telephone | 7014172575 |
| Practice Fax Number | 7014172535 |
| Mailing Telephone | 8015814390 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
10822132-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
145853 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
16593 | ND | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 W Arbor Drive, Mc 8720, San Diego, CA 921038720 | 6195435764 | |
| 15 Medical Dr Ste 1100, Salt Lake City, UT 841121100 | 8015814390 |
| Street Address |
5225 23RD AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-7927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730141466 | Edgardo Abad Crisostomo | Psychiatry & Neurology | 5225 23rd Ave S, Fargo, ND 58104 | 2006-04-06 |
| 1881295814 | Kelsey Kincaid | Dietitian, Registered | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-11-05 |
| 1598365819 | Hannah Muehlberg | Occupational Therapist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-10-27 |
| 1174120281 | Sanford Medical Center Fargo | Pharmacy | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-10-02 |
| 1932714169 | Ashraf Al-tarifi | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-09-14 |
| 1821609116 | Heidi Nelson | Occupational Therapist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-08-11 |
| 1689284671 | Lindsay Raye Busse | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-08-04 |
| 1356950752 | Jordan Mallery | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-31 |
| 1093324014 | Dalton James Peaslee | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-27 |
| 1285243543 | Mathew Gerving | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093159899 | Khurram Shafique | Pathology | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2013-04-23 |
| 1629412648 | Farid Saei Hamedani | Pathology | 801 Broadway N, Fargo, ND 58102-3641 | 2013-04-21 |
| 1417215245 | Gregory M Cheeney | Pathology | 801 Broadway N, Fargo, ND 58102-3641 | 2012-04-30 |
| 1205854080 | Douglas A Roise | Pathology | 1702 University Dr S, Fargo, ND 58103-4940 | 2006-07-18 |
| 1922035401 | Robert F Startz | Pathology | 1702 University Dr S, Fargo, ND 58103-4940 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457463069 | Yat-sun Leung | Pathology | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-08-31 |
| 1720199755 | Craig A Johnson | Pathology | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-08-31 |
| 1437261724 | Mark Wade Rodacker | Pathology | 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 | 2006-08-31 |
| 1164535043 | Dwight J Hertz | Pathology | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-08-16 |
| 1659394948 | Simin Kovacs | Pathology | 30 7th St W, Dickinson, ND 58601-4335 | 2006-07-26 |
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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.