KENNETH M HODGE (NPI# 1750388286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750388286 |
| Entity Type | Individual |
| Full Name | KENNETH M HODGE |
| Credential | MD |
| Practice Address |
4004 Dupont Cir Suite 220 Louisville KY 40207-4819 |
| Mailing Address |
Po Box 950116 Louisville KY 40295-0116 |
| Practice Telephone | 5028930159 |
| Practice Fax Number | 5022133853 |
| Mailing Telephone | 5028930159 |
| Mailing Fax Number | 5022133853 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2018-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
01040152A | IN | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
22157 | KY | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 01040152A | IN | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 22157 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64221575 | 05 | |
| KY | MEDICARE RR | 040003868 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336575281 | Kenneth Hodge | Behavioral Analyst | 3771 King Palm Ave, Las Vegas, NV 89115-8134 | 2013-09-24 |
| 1871094656 | Kenneth Hodge | Case Manager/Care Coordinator | 1515 Indianola Ave, Columbus, OH 43201-2118 | 2018-02-27 |
| 1972640688 | Kenneth Hodge | Pharmacist | 2 E Main St, Mendham, NJ 07945-1505 | 2007-01-31 |
| Street Address |
4004 DUPONT CIR SUITE 220 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474748 | Arc Kentucky LLC | Clinic/Center | 4004 Dupont Cir, Louisville, KY 40207-4819 | 2005-06-02 |
| 1972007813 | Prime Consultants, Pllc | Nurse Anesthetist, Certified Registered | 4004 Dupont Cir, Louisville, KY 40207-4819 | 2018-03-23 |
| 1386052702 | Sarah K Hunt | Audiologist | 4004 Dupont Cir, Ste 220, Louisville, KY 40207-4819 | 2014-07-29 |
| 1568891406 | Rebecca Nicole Hardy | Specialist | 4004 Dupont Cir, Suite 220, Louisville, KY 40207-4819 | 2013-11-01 |
| 1871844886 | Laura Ashley Kearns | Audiologist | 4004 Dupont Cir, Suite 220, Louisville, KY 40207-4819 | 2012-10-01 |
| 1326339458 | Colin Albert Neumann | Otolaryngology | 4004 Dupont Cir, Suite 220, Louisville, KY 40207-4819 | 2011-04-23 |
| 1578871968 | Elizabeth Moller Abbott | Specialist | 4004 Dupont Cir, Suite 220, Louisville, KY 40207-4819 | 2010-09-20 |
| 1336469576 | Julie M Ekens | Radiology | 4004 Dupont Cir, Suite 230, Louisville, KY 40207-4819 | 2010-06-10 |
| 1225269350 | Nandini Menon | Ophthalmology | 4004 Dupont Cir, Louisville, KY 40207 | 2009-08-06 |
| 1588894653 | Amy L. Ingram | Otolaryngology | 4004 Dupont Cir, Suite 220, Louisville, KY 40207-4819 | 2009-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720245657 | Sean Michael Maguire | Otolaryngology | 4600 Shelbyville Rd, Suite 220, Louisville, KY 40207-3326 | 2008-05-19 |
| 1548441850 | Dr. Harold Blevins | Otolaryngology | 5129 Dixie Hwy Ste 209, Louisville, KY 40216-1727 | 2007-11-15 |
| 1194929018 | Aesthetic Specialists Pllc | Otolaryngology | 10262 Shelbyville Rd, Louisville, KY 40223-2955 | 2007-06-13 |
| 1083731277 | Premier Ent and Allergy, Pllc | Otolaryngology | 2429 Bush Ridge Dr Ste 103, Louisville, KY 40245-5914 | 2007-03-23 |
| 1659420800 | Harold W. Blevins, M.d.,p.s.c. | Otolaryngology | 3999 Dutchmans Ln Ste 3a, Louisville, KY 40207-4747 | 2007-01-09 |
| 1912061599 | Jeffrey Brian Jorgensen | Otolaryngology | 401 E Chestnut St Unit 170, Louisville, KY 40202 | 2006-12-20 |
| 1821046426 | Harold W Blevins | Otolaryngology | 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207-4714 | 2006-05-05 |
| 1023006681 | Carl D Coppola | Otolaryngology | 2429 Bush Ridge Drive, Suite 103, Louisville, KY 40245-5914 | 2005-10-07 |
| 1730188285 | Jolene H Boswell | Otolaryngology | 4600 Shelbyville Rd Ste 220, Louisville, KY 40207-3398 | 2005-07-18 |
| 1467450049 | Andrew Simon Mickler | Otolaryngology | 3999 Dutchmans Ln, Suburban Medical Plaza I Ste 2g, Louisville, KY 40207-4729 | 2005-07-08 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.