Michael J Hodos
Foot & Ankle Surgery
833-C Wake Forest Business Park
Wake Forest
, North Carolina 27587-6519
Michael J Hodos
Foot & Ankle Surgery
833-C Wake Forest Business Park
Wake Forest
, North Carolina 27587-6519
(919) 570-9064
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Michael J Hodos
- 833 C Wake Forest Business Park
- Wake Forest, NC
- Zip : 27587-6519
- Fax : (919) 570-9064
- Phone : (919) 570-9061
Second Address
- Michael J Hodos
- 833-C Wake Forest Business Park
- Wake Forest, NC
- Zip : 27587-6519
- Fax : (919) 570-9064
- Phone : (919) 570-9061
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 512 | NC |
| N | 213ES0103X | Foot & Ankle Surgery | POD000792 | GA |
National Provider Identifier
| NPI | 1003912395 |
|---|---|
| Provider Name | Michael J Hodos |
| First Address | Wake Forest, NC 27587-6519 |
| Second Address | Wake Forest, NC 27587-6519 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2006 |
| Last Update Date | 18/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000728538C | (05) | GA |
| 000728538D | (05) | GA |
| 2162228 | AETNA HMO (01) | GA |
| 2700036 | UNITED HEALTHCARE (01) | GA |
| 480032033 | RAILROAD MEDICARE (01) | FL |
| 5133456 | AETNA PPO (01) | GA |
| GPD792 | SOUTH CAROLINA MEDICAID (01) | SC |
| U56255 | (02) | |
| U56255 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.