Organization Active NPI

M'Liss Hogan MD, LLC

  • Plastic Surgery Physician
  • Covington, LA
National Provider Identifier
1124434428
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD.203311 Issued in LA
Legal business name
M'LISS HOGAN MD, LLC
Practice address
110 Lakeview Dr
Suite 100
Covington, LA 70433-7511
Phone
(985) 898-1106
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
M'Liss E. Hogan, M.D.
Title
Manager/Agent
Phone
(985) 898-1106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD.203311 LA Primary

Addresses

Primary practice location

110 Lakeview Dr
Suite 100
Covington, LA 70433-7511

Mailing address

110 Lakeview Dr
Suite 100
Covington, LA 70433-7511
Phone (985) 898-1106

National Provider Directory

National Provider Directory

Locations

215 E Gibson St
Covington, LA 70433
Phone (985) 892-4544

110 Lakeview Dr
Ste 10
Covington, LA 70433
Phone (985) 898-1106

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1124434428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKEVIEW DR",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337511",
            "telephone_number": "985-898-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAKEVIEW DR",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337511",
            "telephone_number": "985-898-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M'LISS HOGAN MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "M'LISS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER/AGENT",
        "authorized_official_telephone_number": "985-898-1106",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "MD.203311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.