Provider Demographics
NPI:1245419720
Name:JAMES L HOBGOOD, M.D., INC.
Entity Type:Organization
Organization Name:JAMES L HOBGOOD, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOBGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-426-6322
Mailing Address - Street 1:201 W IOWA ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-1721
Mailing Address - Country:US
Mailing Address - Phone:812-426-6322
Mailing Address - Fax:812-424-3000
Practice Address - Street 1:201 W IOWA ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1721
Practice Address - Country:US
Practice Address - Phone:812-426-6322
Practice Address - Fax:812-424-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0040156022Medicaid
KY64343346Medicaid
000000108376OtherANTHEM
IL0040156022Medicaid