Active NPI
Timothy Harvey Hogan, M.D.
- Family Medicine Physician
- Oakwood, OH
National Provider Identifier
1154414837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 65303
- Practice address
- 109 North First St.
Oakwood, OH 45873 - Phone
- (419) 594-3520
- Fax
- (419) 594-3530
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 65303 | OH | Primary |
Addresses
Primary practice location
109 North First St.
Oakwood, OH 45873
Mailing address
109 North First St.
Oakwood, OH 45873
Phone (419) 594-3520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407025570 | Other | GROUP NPI# | |
| 9299272 | Other | MEDICARE GROUP # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thogan7166@Direct.Parkviewexchange.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040909001449 | OH | Practitioner - Family Practice | 1759357734 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Paulding County Hospital Physician Services
Practice addresses (Care Compare)
109 N 1St St
Oakwood, OH 45873-8945
Phone (419) 594-3520
Hospital & facility affiliations
- Elara Caring
- Community Health Professionals, Inc
- Paulding County Hospital
- Promedica Defiance Regional Hospital
- Mercy Health - Defiance Hospital
- Community Hospitals and Wellness Centers
- Fulton County Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65303 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paulding County Hospital Physician Services | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
109 N 1st St
Oakwood, OH 45873
Phone (419) 594-3520
1032 W Wayne St
Paulding, OH 45879
Phone (419) 399-1104
1030 W Wayne St
Paulding, OH 45879
Phone (260) 387-6340
1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080
Interoperability endpoints
- thogan7166@direct.parkviewexchange.com
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.
-
- Family Medicine Physician
- Paulding, OH
- NPI 1891744843
Family Medicine, OH
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Van Wert, OH
- NPI 1336216712
-
- General Acute Care Hospital
- Bryan, OH
- NPI 1962458521
Hospital
-
- Home Health Agency
- Toledo, OH
- NPI 1326478876
-
- General Acute Care Hospital
- Defiance, OH
- NPI 1629011234
Hospital
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": "1607299200000",
"number": "1154414837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 NORTH FIRST ST.",
"city": "OAKWOOD",
"state": "OH",
"postal_code": "45873",
"telephone_number": "419-594-3520",
"fax_number": "419-594-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 NORTH FIRST ST.",
"city": "OAKWOOD",
"state": "OH",
"postal_code": "45873",
"telephone_number": "419-594-3520",
"fax_number": "419-594-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "TIMOTHY",
"middle_name": "HARVEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "65303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI#",
"identifier": "1407025570",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "9299272",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thogan7166@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "109 North First St.",
"city": "Oakwood",
"state": "OH",
"country_code": "US",
"postal_code": "45873",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oakwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.