MEDICARE: MRS. SHERRY LYNNE HODGE AU.D.

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	231H00000X	Audiologist	23001704A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	68895379192B	OTHER		UNITED HEATLHCARE
2	7794404	OTHER		AETNA
3	000000227627	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1841292133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRY LYNNE HODGE AU.D.

Provider Business Mailing Address
First Line	:	1827 N MADISON AVE
Second Line	:	STE C
City	:	ANDERSON
State	:	IN
Zip	:	46011-2148
Country	:	US
Telephone Number	:	765-608-3277
Fax Number	:	765-608-3278

Provider Business Practice Location Address
First Line	:	1827 N MADISON AVE
Second Line	:	STE C
City	:	ANDERSON
State	:	IN
Zip	:	46011-2148
Country	:	US
Telephone Number	:	765-608-3277
Fax Number	:	765-608-3278

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/24/2025

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