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KIM J HODGSON M.D.
NPI 1417943937
Surgery - Vascular Surgery in Springfield, IL

Active since September 20, 2005
340 W MILLER ST, SPRINGFIELD, IL 62702(217) 545-5555(217) 545-2563 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kim J Hodgson M.d. NPPES

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

KIM J HODGSON M.D. (NPI 1417943937) is an individual vascular surgery provider in Springfield, Illinois, licensed in Illinois (036072794) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1417943937
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameKIM J HODGSONCredential: M.D.
Location Address340 W MILLER STSpringfield, IL 62702-4928
Mailing AddressPo Box 19638Springfield, IL 62794-9638 · (217) 545-5555 · Fax (217) 545-2563
Phone(217) 545-5555
Fax(217) 545-2563
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateOctober 16, 2014
✔ NPI 1417943937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in IL · 036072794
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
340 W MILLER ST, Springfield, IL 62702
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Other Identifiers 4

Medicare UPINC43767
Medicare PINL60184IL
Medicaid036072794IL
Medicare PIN256510IL

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 Kim Hodgson's NPI number?

The NPI number for Kim Hodgson is 1417943937. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Kim Hodgson located?

Kim Hodgson practices at 340 W Miller St, Springfield, IL 62702. The listed phone number is (217) 545-5555.

What is Kim Hodgson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Kim Hodgson was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.