Organization Active NPI

Richard C. Hogan MD PC

  • Internal Medicine Physician
  • Sewickley, PA
National Provider Identifier
1063101947
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RICHARD C. HOGAN MD PC
Practice address
301 Ohio River Blvd Ste 306
Sewickley, PA 15143-1300
Phone
(412) 584-1324
NPI assigned
May 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Mr. Richard C Hogan, MDNPI 1588680375
Title
Ceo / President
Phone
(412) 584-1324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

301 Ohio River Blvd Ste 306
Sewickley, PA 15143-1300

Mailing address

1852 Glen Mitchell Rd
Sewickley, PA 15143-8849
Phone (412) 916-8268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230810000282 PA Part B Supplier - Clinic/Group Practice 1759743628 Receives reassigned benefits from 2 practitioners
Practice locations: Sewickley, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2285760Richard C Hogan MD PC301 Ohio River Boulevard, Suite 306, Sewickley, PA 15143Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Locations

301 Ohio River Blvd
Ste 306
Sewickley, PA 15143
Phone (412) 584-1324

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1063101947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 GLEN MITCHELL RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438849",
            "telephone_number": "412-916-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD STE 306",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300",
            "telephone_number": "412-584-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. HOGAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "412-584-1324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.

Verify at the official NPI Registry.