Provider Demographics
NPI:1528074671
Name:HODGES, LINDA DIANE (DO)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:DIANE
Last Name:HODGES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1026 A AVE NE
Mailing Address - Street 2:ST LUKES HOSPITAL
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:95 JUDGE TANNER BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7500
Practice Address - Country:US
Practice Address - Phone:985-867-3800
Practice Address - Fax:985-867-4020
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDPT14048207RC0200X
WI55707-21207RC0200X
FLOS21924207RC0200X
MO2006018038208M00000X
LA341399207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGMedicaid
MO1528074671Medicaid
FLU9884OtherMEDICARE HF