Shane M Hodge (NPI# 1548498975, PAC ID# 9032382262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1548498975 |
| PAC ID by PECOS | 9032382262 |
| Professional Enrollment ID | I20111102000788 |
| Full Name | Shane M Hodge |
| Organization Legal Name | GRANVILLE HEALTH INC |
| Address |
102 Professional Park Suite C Oxford NC 27565-2554 |
| Phone Number | 9196920003 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0840341822 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340127 | GRANVILLE HEALTH SYSTEMS |
| Address | Phone | Organization |
|---|---|---|
| 102 Professional Park, Suite C, Oxford, NC 27565-2554 | 9196920003 | GRANVILLE HEALTH INC |
| Organization Legal Name | GRANVILLE HEALTH INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April N Keith | Nurse Practitioner | Granville Health Inc | 102 Professional Park, Suite C, Oxford, NC 27565-2554 |
| Richard Pacca | Cardiovascular Disease (cardiology) | Granville Health Inc | 102 Professional Park, Suite C, Oxford, NC 27565-2554 |
| Naveen Kumar | General Surgery | Granville Health Inc | 103 Professional Park, Suite C, Oxford, NC 27565-2581 |
| Albin John Abraham | Gastroenterology | Granville Health Inc | 103 Professional Park, Oxford, NC 27565-2581 |
| Joseph C Zola Jr. | Urology | Granville Health Inc | 102 Professional Park, Suite C, Oxford, NC 27565-2554 |
| Street Address |
102 PROFESSIONAL PARK SUITE C |
| City | OXFORD |
| State | NC |
| Zip | 27565-2554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amarnath A Kathresal | Nephrology | Durham Nephrology Associates Pa | 102 Professional Park, Suite B, Oxford, NC 27565-2554 |
| Charles I Cooperberg | Nephrology | Durham Nephrology Associates Pa | 102 Professional Park, Suite B, Oxford, NC 27565-2554 |
| Libiya B Poonely | Nurse Practitioner | Durham Nephrology Associates Pa | 102 Professional Park, Suite B, Oxford, NC 27565-2554 |
| Elzbieta E Rybicka-kozlowska | Nephrology | Durham Nephrology Associates Pa | 102 Professional Park, Suite B, Oxford, NC 27565-2554 |
| Samuel T Shaikewitz | Nephrology | Durham Nephrology Associates Pa | 102 Professional Park, Suite B, Oxford, NC 27565-2554 |
| April N Keith | Nurse Practitioner | Granville Health Inc | 102 Professional Park, Suite C, Oxford, NC 27565-2554 |
| Richard Pacca | Cardiovascular Disease (cardiology) | Granville Health Inc | 102 Professional Park, Suite C, Oxford, NC 27565-2554 |
| Kimberly Quail Atwood | Physician Assistant | Durham Nephrology Associates Pa | 102 Professional Park, Suite B, Oxford, NC 27565-2554 |
| Joseph C Zola Jr. | Urology | Granville Health Inc | 102 Professional Park, Suite C, Oxford, NC 27565-2554 |
| Tomasz Gawecki | Nephrology | Durham Nephrology Associates Pa | 102 Professional Park, Suite B, Oxford, NC 27565-2554 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita E Rogers | Physician Assistant | Granville Health System | 1010 College St, Oxford, NC 27565-2507 |
| Dennis Michael Mahan | General Practice | Granville Health System | 1032 College St, Oxford, NC 27565-2507 |
| Stephan Fredrick Baum | Psychiatry | Granville Health System | 1010 College St, Oxford, NC 27565-2507 |
| Sean C Selig | Anesthesiology | Perioperative Specialists of North Carolina | 1010 College St, Oxford, NC 27565-2507 |
| Colin D Bilichka | Certified Registered Nurse Anesthetist (crna) | Granville Health System | 1010 College St, Oxford, NC 27565-2507 |
| Michael Stoll | Diagnostic Radiology | Durham Radiology Associates, Inc. | 1010 College St, Oxford, NC 27565-2507 |
| Lanita K Breeze | Certified Registered Nurse Anesthetist (crna) | Granville Health System | 1010 College St, Oxford, NC 27565-2507 |
| Mary Thorp | Certified Registered Nurse Anesthetist (crna) | Granville Health System | 1010 College St, Oxford, NC 27565-2507 |
| Mark H Neely | Diagnostic Radiology | Durham Radiology Associates, Inc. | 1010 College St, Oxford, NC 27565-2507 |
| Christopher M Critzer | Certified Registered Nurse Anesthetist (crna) | Granville Health System | 1010 College St, Oxford, NC 27565-2507 |
| Find all physicians in zip 27565 | |||
| City | OXFORD |
| Zip Code | 27565 |
| Specialty | GENERAL SURGERY |
| City + Specialty | OXFORD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Shane M Hodge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.