Physician Compare National (NPI:1215937073)

HEALTHCARE PROVIDER: DANIEL LEE HODGES M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1215937073
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234214388
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080313000147
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HODGES
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1103 KALISTE SALOOM RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	LAFAYETTE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705085784
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3372345234
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190102
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAFAYETTE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y