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Deactivated NPI 1659532851 Deactivated / Inactive NPI Male Practitioner

John D. Dodge , CCCSLP

Speech-Language Pathologist • Tucson, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Dodge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 19, 2008
NPI Deactivation Date October 17, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

John Dodge, CCCSLP was a registered Speech-Language Pathologist practicing in Tucson, AZ. Throughout an active medical career spanning 9 years, John Dodge provided care at the practice location at 4310 E GRANT RD until profile deactivation on 2017-10-17.

Practice Location & Contact Primary Location

Practice Address

4310 E Grant Rd

Tucson, AZ 857122607

Telephone 5203239351
Fax 5207950459
Associated Practice Facility / Clinic
🏢 Villa Maria Care Center, Llc Facility NPI 1902953813

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
564 Specialists

Practicing in Tucson, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP1913

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Kenneth Vanderleest , OTR, L

Occupational Therapist

NPI 1174784359

Occupational Therapist Registered, L

Rebecca Flowers , COTA, L

Occupational Therapy Assistant

NPI 1447637525

Certified Occupational Therapy Assistant, L

Maria Balderas , OTA, L

Occupational Therapy Assistant

NPI 1588825780
Anthony Gucciardo

Physical Therapy Assistant

NPI 1841761400
Paul Sgoutas

Occupational Therapist

NPI 1841790219

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 17, 2017

Record deactivated on October 17, 2017

NPI Profile Active June 19, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 19, 2008

Registered at 4310 E GRANT RD, TUCSON, AZ 857122607 (Tel: 5203239351)

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Updated Business Mailing Address June 19, 2008

Registered at 2451 N PALO HACHA DR, TUCSON, AZ 857451099 (Tel: 5208822921)

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Provider Name / Credentials Updated June 19, 2008

Recorded as JOHN DODGE, CCCSLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2008

Speech-Language Pathologist (License #SLP1913 in AZ)

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Initial NPI Registration & Enumeration June 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659532851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2008
Last Update: June 19, 2008
Deactivation Date: October 17, 2017

Mailing Address

2451 N Palo Hacha Dr

Tucson, AZ 857451099

Phone: 5208822921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.