Active NPI
William R Hogan, DPM
- Podiatrist
- Cincinnati, OH
National Provider Identifier
1023004991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1707
- Practice address
- 5315 Delhi Ave
Cincinnati, OH 45238-5214 - Phone
- (513) 922-2335
- Fax
- (513) 922-4454
- NPI assigned
- Sep 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1707 | OH | Primary |
Addresses
Primary practice location
5315 Delhi Ave
Cincinnati, OH 45238-5214
Mailing address
5315 Delhi Ave
Cincinnati, OH 45238-5214
Phone (513) 922-2335
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000012371 | Other | OH | BLUE CROSS/BLUE SHIELD |
| 0318043 | Medicaid | OH | |
| 27-00262 | Other | OH | EVERCARE,UNITEDHELATHCARE |
| 311164051 00 | Other | OH | WORKERS COMPENSATION |
| 1287600001 | Other | OH | MEDICARE DURABLE ID NUMBE |
| 27000546 | Other | OH | UNITED HEALTHCARE |
| 648840 | Other | OH | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1707 | OH | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1023004991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 DELHI AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452385214",
"telephone_number": "513-922-2335",
"fax_number": "513-922-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 DELHI AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452385214",
"telephone_number": "513-922-2335",
"fax_number": "513-922-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "1707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000012371",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318043",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE,UNITEDHELATHCARE",
"identifier": "27-00262",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "311164051 00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DURABLE ID NUMBE",
"identifier": "1287600001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "27000546",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "648840",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.