DOTSON & HODGE MEDICAL GROUP, LLC (NPI# 1366575599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366575599 |
| Entity Type | Organization |
| Organization Name | DOTSON & HODGE MEDICAL GROUP, LLC |
| Practice Address |
650 Pennsylvania Ave Se Suite 220 Washington DC 20003-4318 |
| Practice Telephone | 2025432664 |
| Practice Fax Number | 2025463244 |
| Mailing Telephone | 2025432664 |
| Mailing Fax Number | 2025463244 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-10-20 |
| Authorized Official Name | DR. SAMUEL C DOTSON III (PARTNER) |
| Authorized Official Telephone | 2025432664 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
18133 | DC | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 17053 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
650 PENNSYLVANIA AVE SE SUITE 220 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20003-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275594970 | Salim I Butrus | Ophthalmology | 650 Pennsylvania Ave Se, Suite 270, Washington, DC 20003-4318 | 2006-03-31 |
| 1942869920 | Chloe Ambrose | Social Worker | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2019-06-12 |
| 1871152033 | Lauren Fadem | Counselor | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2019-06-11 |
| 1336708593 | Lamar Smith | Social Worker | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2019-06-11 |
| 1417459835 | Kathleen Gem Shaw | Clinical Neuropsychologist | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2018-03-01 |
| 1336691450 | Capitol Hill Pediatric Dentistry | Dentist | 650 Pennsylvania Ave Se, 220, Washington, DC 20003-4318 | 2016-10-25 |
| 1114308384 | Paradigm Integrative Health, LLC | Psychiatry & Neurology | 650 Pennsylvania Ave Se, Suite 470, Washington, DC 20003-4318 | 2015-06-14 |
| 1013330570 | Sarah Marie Creveling | Counselor | 650 Pennsylvania Ave Se, Lr, Washington, DC 20003-4318 | 2014-02-03 |
| 1144560509 | Irene Mendoza | Counselor | 650 Pennsylvania Ave Se, Suite 240, Washington, DC 20003-4318 | 2013-02-22 |
| 1609141548 | Tsega Gsilassie | Physician Assistant | 650 Pennsylvania Ave Se, Ste 220, Washington, DC 20003-4318 | 2012-03-10 |
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| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| 1548872617 | Marie Lubin | Licensed Practical Nurse | 100 New Jersery Ave Se, Suite 845, Washington, DC 20003 | 2020-08-20 |
| 1770115081 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15 I Street Se, Washington, DC 20003 | 2020-02-05 |
| 1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
| 1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
| 1881164424 | Heather Yvonne Daniels | Social Worker | 650 I Street Ne, Washington, DC 20003 | 2018-11-27 |
| 1467946566 | Fanta Boakai Sheriff | Home Health Aide | 1202 12th Street Se, Washington, DC 20003 | 2018-06-21 |
| 1881117513 | Rose Physcial Therapy Group | Physical Therapist | 1015 Half Street #102, Washington, DC 20003 | 2017-07-25 |
| 1821510280 | Tiara Doniece Jackson | Technician | 601 L St Se, Apt 1001, Washington, DC 20003 | 2017-07-07 |
| 1083134985 | Sophia Olivia Hooper | Home Health Aide | 1612 A St Se, Washington, DC 20003 | 2017-06-21 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1669942983 | It Hospitalist Services | Internal Medicine | United Medical Center, 1310 Southern Ave., Se, Washington, DC 20032-4623 | 2018-11-29 |
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| 1124512819 | Internal Medicine Colleagues Pllc | Internal Medicine | 2021 K St Nw Ste 404, Washington, DC 20006-1003 | 2018-06-18 |
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| City | WASHINGTON |
| Zip Code | 20003 |
Please comment or provide details below to improve the information on DOTSON & HODGE MEDICAL GROUP, LLC.
| 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.