Individual provider Active NPI

Scott Matthew Hogan, M.D.

  • Psychiatry Physician
  • Maumelle, AR
National Provider Identifier
1093826067
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E0973 Issued in AR
Practice address
1601 Murphy Dr
Maumelle, AR 72113-6187
Phone
(501) 803-3388
Fax
(501) 325-1387
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E0973 AR Primary

Addresses

Primary practice location

1601 Murphy Dr
Maumelle, AR 72113-6187

Mailing address

P.O. Box 251708
Little Rock, AR 72225-1708
Phone (501) 614-7700

Other identifiers 1

IdentifierTypeStateIssuer
135107001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20160205001195 AR Order and Referring Only - PsychiatryPractitioner - Psychiatry 2365335460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0973ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services, Inc PastSince Jan 1, 1990 Accepting new patients
Psychiatric Services, Inc. PastSince Jan 1, 1990 Accepting new patients
United Methodist Behavioral Health System, Inc Past Accepting new patients

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1093826067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 251708",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251708",
            "telephone_number": "501-614-7700",
            "fax_number": "501-614-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MURPHY DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136187",
            "telephone_number": "501-803-3388",
            "fax_number": "501-325-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "SCOTT",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E0973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135107001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

Verify at the official NPI Registry.