MR. MARIO DONALD HODGE C.PED NPI 1023369501

NPI Information

NPI: 1023369501
Provider Name: MR. MARIO DONALD HODGE, C.PED
Classification: Pedorthist - 224L00000X
Entity Type: Individual
Address:
1024 JORDAN ST
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-4442
Get Directions

MR. Mario Donald Hodge, C.PED is a pedorthist in Mount Vernon, IL. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. MR. Mario Donald Hodge, C.PED NPI is 1023369501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1024 JORDAN ST
MOUNT VERNON, IL
ZIP 62864-231
Phone: (618) 242-4442
Fax: (618) 242-3942

The enumeration date for this NPI number is 9/25/2012 and was last updated on 9/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	224L00000X	Pedorthist		212.000161	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »