# MICHAEL J HODOS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003912395
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 512 | NC | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | POD000792 | GA | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 02/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000728538C | — | GA |
| 05 | — | 000728538D | — | GA |
| 01 | — | 2162228 | AETNA HMO | GA |
| 01 | — | 2700036 | UNITED HEALTHCARE | GA |
| 01 | — | 480032033 | RAILROAD MEDICARE | FL |
| 01 | — | 5133456 | AETNA PPO | GA |
| 01 | — | GPD792 | SOUTH CAROLINA MEDICAID | SC |
