Michael R Hobaugh, MD, PHD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR.0056036 Issued in CO

Practice address

1330 Oakridge Dr., Ste 100
Pediatric Associates of Northern Colorado
Fort Collins, CO 80525

Phone

(970) 484-4871

Fax

(970) 482-4927

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Associates of Northern Colorado

  • Pediatrics Physician
  • Fort Collins, CO
  • NPI 1336419530
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1003966045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 OAKRIDGE DR., STE 100",
            "address_2": "PEDIATRIC ASSOCIATES OF NORTHERN COLORADO",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-484-4871",
            "fax_number": "970-482-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OAKRIDGE DR., STE 100",
            "address_2": "PEDIATRIC ASSOCIATES OF NORTHERN COLORADO",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-484-4871",
            "fax_number": "970-482-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBAUGH",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0056036",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036106127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106127",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doug Hirst
• Zachary A Hitchcock, PA
• Hailey Hixson
• Duane Hjelt, PT
• Siena Ho Shue, BA
• Paige Hobbs
• Sarah Elizabeth Hoch, PA-C
• David Hockenberry
• Karen Lumb Hocker, D.C., CCC-SLP
• Christopher Hodel

• Pediatrics Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.