DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1609851351

NPI Code Detail

MEDICARE: STANLEY M HODGES MD

MEDICARE: STANLEY M HODGES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35007	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	P00384556	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4124140	OTHER	TN	BCBS OF TENNESSEE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4346248	OTHER	TN	BCBSTN
6	4346327	OTHER	TN	BCBSTN
7	TN01Y9	OTHER	TN	BCBS OF TN
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	TN01Y9	OTHER	TN	JOHN DEERE

General Provider Information

NPI Number	:	1609851351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY M HODGES MD

Provider Business Mailing Address
First Line	:	PO BOX 632476
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2476
Country	:	US
Telephone Number	:	423-794-5520
Fax Number	:	423-282-6940

Provider Business Practice Location Address
First Line	:	301 MED TECH PKWY
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2630
Country	:	US
Telephone Number	:	423-794-5520
Fax Number	:	423-282-0720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	02/19/2025

Similar Medicare Providers

1942521836 — DR. ERIC J GROEN DO
Practice Location Address:

301 MED TECH PKWY
JOHNSON CITY, TN
37604-2630

Practice Phone: 423-794-5520
Practice Fax: 423-282-6940

1558629907 — DR. BRANDON D KETRON DO
Practice Location Address:

301 MED TECH PKWY
JOHNSON CITY, TN
37604-2630

Practice Phone: 423-794-5520
Practice Fax: 423-282-6940

1114472883 — TENESSA R MUNAL NP-C
Practice Location Address:

301 MED TECH PKWY
JOHNSON CITY, TN
37604-2630

Practice Phone: 423-794-5550
Practice Fax: 423-794-5867

1659933901 — ANDREW A KOVACS FNP-C
Practice Location Address:

301 MED TECH PKWY
JOHNSON CITY, TN
37604-2630

Practice Phone: 423-794-5520
Practice Fax: 423-282-6940

1740863968 — WELLMONT MEDICAL ASSOCIATES, INC.
Practice Location Address:

301 MED TECH PKWY
JOHNSON CITY, TN
37604-2630

Practice Phone: 423-302-6239
Practice Fax: 423-302-6248

1912105156 — KAREN R DIXON
Practice Location Address:

1022 JOHNSON ST
BENBROOK, TX
76126-2630

Practice Phone: 817-249-0485
Practice Fax:

Directions to “ STANLEY M HODGES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.