MR. JASON PAUL HODDE (NPI# 1508973165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508973165 |
| Entity Type | Individual |
| Full Name | MR. JASON PAUL HODDE |
| Credential | MS, ATC/L |
| Practice Address |
1425 Innovation Place West Lafayette IN 47906 |
| Mailing Address |
912 Lindberg Rd West Lafayette IN 47906-2012 |
| Practice Telephone | 7654973355 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
36000176A | IN | Allopathic & Osteopathic Physicians |
| X | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
36000176A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
1425 INNOVATION PLACE |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| 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 Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760012181 | Samantha Gayle Yeagy | Emergency Medicine | 11700 S E 00 W, Fairmount, IN 46928-9318 | 2020-01-24 |
| 1952863615 | Travis Smarelli | Emergency Medicine | 300 Main St, Whiteland, IN 46184-1550 | 2019-04-02 |
| 1518161769 | Lindsay G Tanner | Emergency Medicine | 395 Westfield Rd, Noblesville, IN 46060-1425 | 2007-06-12 |
| 1316039498 | Theodore A Waflart | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2006-09-28 |
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
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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.