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MR. MARIO DONALD HODGE C.PED
NPI 1023369501
Pedorthist in Mount Vernon, IL

Active since September 25, 2012
1024 JORDAN ST, MOUNT VERNON, IL 62864(618) 242-4442(618) 242-3942 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mario Donald Hodge C.ped NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARIO DONALD HODGE C.PED (NPI 1023369501) is an individual pedorthist provider in Mount Vernon, Illinois, licensed in Illinois (212.000161) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1023369501
Entity TypeIndividualMale
Primary Taxonomy224L00000X
Provider Legal NameMR. MARIO DONALD HODGECredential: C.PED
Location Address1024 JORDAN STMount Vernon, IL 62864-4231
Mailing Address1024 Jordan StMount Vernon, IL 62864-4231 · (618) 242-4442 · Fax (618) 242-3942
Phone(618) 242-4442
Fax(618) 242-3942
Sole ProprietorNo
Enumeration DateSeptember 25, 2012
✔ NPI 1023369501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
License✔ Licensed in IL · 212.000161
Definition
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.
1024 JORDAN ST, Mount Vernon, IL 62864
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIVIAN L MARTIN
Prosthetic/Orthotic Supplier
1024 JORDAN ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Hodge's NPI number?

The NPI number for Mario Hodge is 1023369501. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Mario Hodge located?

Mario Hodge practices at 1024 Jordan St, Mount Vernon, IL 62864. The listed phone number is (618) 242-4442.

What is Mario Hodge's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Mario Hodge was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.