Active NPI
Jason Michael Hogarth, CRNA
- Certified Registered Nurse Anesthetist
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704295920
- Practice address
- 5301 McAuley Dr
Ypsilanti, MI 48197-1051 - Phone
- (734) 712-3456
- NPI assigned
- Apr 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704295920 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704295920 | MI | Primary |
Addresses
Primary practice location
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Mailing address
730 S Waverly St
Dearborn, MI 48124-1673
Phone (313) 574-5079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704295920 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sjmhs Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sjmhs Anesthesia Services | Current | Accepting new patients | |
| Huron Gastroenterology Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sjmhs Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Huron Gastroenterology Associates PC | Current | Accepting new patients | |
| Sjmhs Anesthesia Services | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
36650 5 Mile Rd
Ste 100
Livonia, MI 48154
Phone (734) 432-0314
5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1144335639
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Howell, MI
- NPI 1215026281
-
- Gastroenterology Physician
- Howell, MI
- NPI 1265635593
-
- Certified Registered Nurse Anesthetist
- Ypsilanti, MI
- NPI 1184069874
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1205271996
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1275750960
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1013570498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 S WAVERLY ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241673",
"telephone_number": "313-574-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 MCAULEY DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971051",
"telephone_number": "734-712-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGARTH",
"first_name": "JASON",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-21",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704295920",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704295920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.