Provider Demographics
NPI:1912988619
Name:HEDGER, JOHN HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HOWARD
Last Name:HEDGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1675 WOODBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-8502
Mailing Address - Country:US
Mailing Address - Phone:410-749-4154
Mailing Address - Fax:410-860-9583
Practice Address - Street 1:1675 WOODBROOKE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-8502
Practice Address - Country:US
Practice Address - Phone:410-749-4154
Practice Address - Fax:410-860-9583
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0025069207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
3226877OtherAETNA
327279OtherPRIME HEALTH
200022313OtherRAILROAD MEDICARE
41500701H524PEOtherBCBS TRAD PRODUCTS
VA091051OtherTRIGON VA BCBS
221921800OtherUS DEPARTMENT OF LABOR
66G43OtherEMPIRE BCBS
0001W409OtherBCBS PROD FEP BLUE CHOICE
VA006492703Medicaid
DE0000187001Medicaid
MD22868OtherMDIPA OPTIMUM CHOICE
NP0013OtherFREESTATE DELMARVA HEALTH
MD333321300Medicaid
0001W409OtherBCBS PROD FEP BLUE CHOICE
200022313OtherRAILROAD MEDICARE