DR. CHARLES HUNTER HODGE (NPI# 1760531222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760531222 |
| Entity Type | Individual |
| Full Name | DR. CHARLES HUNTER HODGE |
| Credential | M.D. |
| Practice Address |
1550 N 115th St Seattle WA 98133-8401 |
| Mailing Address |
5435 40th Ave W Seattle WA 98199-1032 |
| Practice Telephone | 2063640500 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00039614 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICAL LICENSE | MD00039614 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073941365 | Charles Bryan Hodge | Social Worker | 825 Ne 20th Ave, Suite 330, Portland, OR 97232-2275 | 2013-10-23 |
| 1275752479 | Charles Hodge V | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-04-25 |
| 1811949027 | Charles W Hodge | Radiology | 601 E Rollins St, Radiation Oncology, Orlando, FL 32803-1248 | 2006-05-16 |
| 1598766685 | Charles J Hodge Jr. | Neurological Surgery | 725 Irving Ave, Suite 503, Syracuse, NY 13210-1603 | 2005-08-10 |
| Street Address |
1550 N 115TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660831 | Eduardo Saul Margo | Internal Medicine | 1550 N 115th St, Seattle, WA 98133-8401 | 2005-06-22 |
| 1639784838 | Solee Lim | Registered Nurse | 1550 N 115th St, Seattle, WA 98133-8401 | 2020-09-14 |
| 1033745500 | Hanna Esther Kott | Nurse Practitioner | 1550 N 115th St, Seattle, WA 98133-8401 | 2020-03-17 |
| 1902431505 | Laura Janae Brazer | Nurse Practitioner | 1550 N 115th St, Seattle, WA 98133-8401 | 2020-03-04 |
| 1336771864 | Catherine Anne Bardsley | Nurse Practitioner | 1550 N 115th St, Seattle, WA 98133-8401 | 2020-02-12 |
| 1164073383 | Cher Ann Kier | Social Worker | 1550 N 115th St, Seattle, WA 98133-8401 | 2019-09-28 |
| 1023570637 | Brandee Wellman | Physical Therapy Assistant | 1550 N 115th St, Seattle, WA 98133-8401 | 2019-04-02 |
| 1780160846 | Trang T Nguyen | Nurse Anesthetist, Certified Registered | 1550 N 115th St, Seattle, WA 98133-8401 | 2018-07-12 |
| 1497253207 | Linda Joan Hagemeyer | Occupational Therapist | 1550 N 115th St, Seattle, WA 98133-8401 | 2018-01-26 |
| 1306351937 | Heather Louise Martin | Occupational Therapist | 1550 N 115th St, Seattle, WA 98133-8401 | 2017-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified 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 |
|---|---|---|---|---|
| 1518372416 | John Raymond Avant Storey | Emergency Medicine | 3300 Meridian Ave N, Apt 204, Seattle, WA 98103-9150 | 2014-06-30 |
| 1346650017 | Anna Condino | Emergency Medicine | Emergency Services Northwest, 1550 N 115th Street, A150, Seattle, WA 98133 | 2014-05-05 |
| 1497184725 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 3050 Ne 127th St, Seattle, WA 98125-4415 | 2013-11-07 |
| 1578996211 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 610 1st Ave N, Seattle, WA 98109-4001 | 2013-08-16 |
| 1770926602 | Nicholas Granzella | Emergency Medicine | 201 16th Ave E # Chm, Seattle, WA 98112-5226 | 2013-04-10 |
| 1669815882 | Brandy Cluka | Emergency Medicine | 325 9th Ave # 359702, Seattle, WA 98104-2420 | 2013-04-08 |
| 1285991711 | Carolan Rachel Hass | Emergency Medicine | 4755 Fauntleroy Way Sw Unit 110, Seattle, WA 98116-4669 | 2012-04-22 |
| 1265798391 | Sean Tan Nguyen | Emergency Medicine | 325 Ninth Ave., Ms# 359702, Seattle, WA 98104-2420 | 2012-04-03 |
| 1952698243 | Travis Allen Omura | Emergency Medicine | 809a Nw 53rd St, Seattle, WA 98107-3644 | 2011-07-07 |
| 1629361761 | Blaise Bellows | Emergency Medicine | 3235 37th Pl S, Seattle, WA 98144-7017 | 2011-05-23 |
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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.