# NPMIKE01

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538940929
- **Authorized official:** MICHAEL A HODGE APN (OWNER)
- **Authorized official phone:** (347) 451-2739

## Contact information

- **Practice address:** 1500 S HAMILTON RD STE E, COLUMBUS, OH 43227-2414
- **Practice address phone:** (855) 676-4531
- **Practice address fax:** (855) 676-4531
- **Mailing address:** PO BOX 27611, COLUMBUS, OH 43227-0611
- **Mailing address phone:** (855) 676-4531
- **Mailing address fax:** (855) 676-4531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2023
- **Last updated:** 11/08/2023