Active NPI
Michael John Hogan, CPO/LPO
- Prosthetist
- Orlando, FL
National Provider Identifier
1124111760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO02315
- Practice address
- 1731 S Orange Ave
Orlando, FL 32806-2935 - Phone
- (407) 781-2360
- Fax
- (407) 781-2362
- NPI assigned
- Oct 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CPO02315 | FL | Primary |
| Orthotist | 222Z00000X | CPO02315 | FL |
Addresses
Primary practice location
1731 S Orange Ave
Orlando, FL 32806-2935
Mailing address
1731 S Orange Ave
Orlando, FL 32806-2935
Phone (407) 781-2360
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO02315 | FL | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1124111760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062935",
"telephone_number": "407-781-2360",
"fax_number": "407-781-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062935",
"telephone_number": "407-781-2360",
"fax_number": "407-781-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "CPO/LPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "FL",
"license": "CPO02315",
"primary": true
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "FL",
"license": "CPO02315",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.