MEDICARE: MERLE J 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	207V00000X	Obstetrics & Gynecology Physician	0420717	KS

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

General Provider Information

NPI Number	:	1164407094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERLE J HODGES MD

Provider Business Mailing Address
First Line	:	501 S SANTA FE AVE
Second Line	:	SUITE 140
City	:	SALINA
State	:	KS
Zip	:	67401-4189
Country	:	US
Telephone Number	:	785-452-7269
Fax Number	:	785-452-6008

Provider Business Practice Location Address
First Line	:	501 S SANTA FE AVE
Second Line	:	SUITE 140
City	:	SALINA
State	:	KS
Zip	:	67401-4189
Country	:	US
Telephone Number	:	785-827-7996
Fax Number	:	785-825-4490

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	05/25/2015

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