Active NPI
Lisa D Hogan, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9178865
- Practice address
- 1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571 - Phone
- (813) 844-4396
- Fax
- (813) 844-4972
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9178865 | FL | Primary |
Addresses
Primary practice location
1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571
Mailing address
1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571
Phone (813) 844-4396
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E6257W | Other | FL | MEDICARE GTBA REASSIGN |
| P00339881 | Other | FL | MEDICARE RAILROAD |
| G3402 | Other | FL | BCBS |
| 303984600 | Medicaid | FL | |
| 7705379 | Other | FL | AETNA PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9178865 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Florida Gulf-to-Bay Anesthesiology Associates, LLC | Past | Accepting new patients | |
| Unicom Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone (800) 242-5080
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
1 Tampa General Cir
Ste A327
Tampa, FL 33606
Phone (813) 635-5817
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- lhogan9091@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Clinic/Center
- Zephyrhills, FL
- NPI 1821055690
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Anesthesiology Physician
- Temple Terrace, FL
- NPI 1780942706
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1649232299
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1083665426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1053396424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TAMPA GENERAL CIR",
"address_2": "SUITE A327",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-844-4396",
"fax_number": "813-844-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TAMPA GENERAL CIR",
"address_2": "SUITE A327",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-844-4396",
"fax_number": "813-844-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "LISA",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9178865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GTBA REASSIGN",
"identifier": "E6257W",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00339881",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G3402",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303984600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7705379",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.