NPIMap

Individual provider Active NPI

William Estes Hogan Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Fremont, OH
National Provider Identifier
1174506463
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35-092119 Issued in OH
Practice address
715 S Taft Ave
Fremont, OH 43420-3296
Phone
(419) 334-6639
Fax
(419) 333-2793
NPI assigned
Nov 21, 2005
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35-092119 OH Primary

Addresses

Primary practice location

715 S Taft Ave
Fremont, OH 43420-3296

Mailing address

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 334-6661

Other identifiers 1

IdentifierTypeStateIssuer
2890199MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090406000104 OH Practitioner - Pain Management 3072572783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians
Memorial HospitalGroup PAC ID 9739078528, 5 clinicians

Practice addresses (Care Compare)

139 Garau St
Bluffton, OH 45817-1027
Phone (419) 423-5492

1900 S Main St
Findlay, OH 45840-1214

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 332-7321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.66 of 100Reported as group
Quality
52.4
Promoting interoperability
84
Improvement activities
40
Cost
66.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-092119OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Blanchard Valley LLC CurrentSince Mar 1, 2016 Accepting new patients
Memorial Hospital CurrentSince Jan 15, 2016 Accepting new patients
Memorial Hospital CurrentSince Jan 15, 2016 Accepting new patients
Midwest Pain Treatment Center, LLC Pain Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
CRB of Ohio, Inc Past Accepting new patients

Locations

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

1900 S Main St
Fl 3
Findlay, OH 45840
Phone (419) 423-4500

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

310 S Cable Rd
Lima, OH 45805
Phone (419) 228-1000

658 W Market St
Ste 106
Lima, OH 45801
Phone (419) 228-5434

801 Medical Dr
Ste B
Lima, OH 45804
Phone (419) 224-7586

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1174506463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S TAFT AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203237",
            "telephone_number": "419-334-6661",
            "fax_number": "419-334-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S TAFT AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203296",
            "telephone_number": "419-334-6639",
            "fax_number": "419-333-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "WILLIAM",
        "middle_name": "ESTES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35-092119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2890199",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.