Active NPI
Michael David Hogue, CRNA
- Certified Registered Nurse Anesthetist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- L6-0A00749
- Practice address
- 4735 Ogletown-Stanton Road
Newark, DE 19718 - Phone
- (302) 733-1000
- Fax
- (302) 623-2593
- NPI assigned
- Dec 18, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN610176 | PA | |
| Registered Nurse | 163W00000X | L1-0047862 | DE | |
| Certified Registered Nurse Anesthetist | 367500000X | L6-0A00749 | DE | Primary |
Addresses
Primary practice location
4735 Ogletown-Stanton Road
Newark, DE 19718
Mailing address
2 Reads Way
Suite 201
New Castle, DE 19720-1630
Phone (302) 709-4510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200
Hospital & facility affiliations
- Salem Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0047862 | DE | MD | Registered Nurse |
| RN610176 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients |
Locations
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1083079990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 READS WAY",
"address_2": "SUITE 201",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197201630",
"telephone_number": "302-709-4510",
"fax_number": "302-356-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN-STANTON ROAD",
"city": "NEWARK",
"state": "DE",
"postal_code": "19718",
"telephone_number": "302-733-1000",
"fax_number": "302-623-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGUE",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-18",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN610176",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0047862",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L6-0A00749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.