Active NPI
John Thomas Hoggard, M.D.
- Family Medicine Physician
- Troutdale, OR
National Provider Identifier
1073561759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD08489
- Practice address
- 1700 SW 257TH Ave
Troutdale, OR 97060-1900 - Phone
- (503) 669-6800
- Fax
- (503) 491-2434
- NPI assigned
- May 4, 2006
- Last updated
- Oct 10, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD08489 | OR | Primary |
Addresses
Primary practice location
1700 SW 257TH Ave
Troutdale, OR 97060-1900
Mailing address
PO Box 730
Troutdale, OR 97060-0730
Phone (503) 669-6800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149167 | Other | WA LABOR & INDUSTRY | |
| 085878 | Medicaid | OR | |
| 4011920 | Other | 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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08489 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gresham Troutdale Family Medical Center PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Troutdale, OR
- NPI 1225184674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1073561759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 730",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970600730",
"telephone_number": "503-669-6800",
"fax_number": "503-491-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 SW 257TH AVE",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970601900",
"telephone_number": "503-669-6800",
"fax_number": "503-491-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGGARD",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD08489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRY",
"identifier": "149167",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085878",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4011920",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Troutdale, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.