Individual provider Active NPI

John Jay Hogan, MD

  • Emergency Medicine Physician
  • Kaplan, LA
National Provider Identifier
1083174486
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
87205 Issued in SC
Practice address
1310 W 7TH St
Kaplan, LA 70548-2910
Phone
(337) 643-8300
Fax
(337) 643-5309
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 326275 LA
Emergency Medicine Physician 207P00000X 87205 SC Primary

Addresses

Primary practice location

1310 W 7TH St
Kaplan, LA 70548-2910

Mailing address

Lsu Emergency Medicine Residency Program
5246 Brittany Drive
Baton Rouge, LA 70808
Phone (225) 757-4142

Other practice location 1

LSU Emergency Medicine Residency Program
5246 Brittany Drive
Baton Rouge, LA 70808
Phone (225) 757-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007001319 SC Practitioner - Emergency Medicine 8426384108 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
326275LAMDEmergency Medicine Physician
87205SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Emergency Physicians of SC PC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Beaufort County Memorial Hospital Emergency Medicine Current Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

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.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1083174486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LSU EMERGENCY MEDICINE RESIDENCY PROGRAM",
            "address_2": "5246 BRITTANY DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-757-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W 7TH ST",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705482910",
            "telephone_number": "337-643-8300",
            "fax_number": "337-643-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "LSU Emergency Medicine Residency Program",
            "address_2": "5246 Brittany Drive",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70808",
            "country_code": "US",
            "telephone_number": "225-757-4142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JOHN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "326275",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "87205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaplan, LA

Sources for this page

Verify at the official NPI Registry.