Individual provider Active NPI

Jason Michael Hogan, M.D.

  • Emergency Medicine Physician
  • Gunnison, CO
National Provider Identifier
1205255569
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0061211 Issued in CO
Practice address
711 N Taylor St
Gunnison, CO 81230-2208
Phone
(970) 641-1456
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-10380 AR
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X DR.0061211 CO Primary

Addresses

Primary practice location

711 N Taylor St
Gunnison, CO 81230-2208

Mailing address

711 N Taylor St
Gunnison, CO 81230-2208
Phone (970) 641-1456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, TX, CO, WV, MN, OH7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20170821001895 NC Practitioner - Emergency Medicine 4880997170 Reassigns benefits to 1 organization
I20170926001575 SC Practitioner - Emergency Medicine 4880997170 Reassigns benefits to 1 organization
I20181017000867 TX Practitioner - Emergency Medicine 4880997170 Reassigns benefits to 1 organization
I20181126003639 CO Practitioner - Emergency Medicine 4880997170 Reassigns benefits to 3 organizations
I20230505000871 WV Practitioner - Emergency Medicine 4880997170 Reassigns benefits to 1 organization
I20230519000244 MN Practitioner - Emergency Medicine 4880997170 Reassigns benefits to 1 organization
I20230613001429 OH Practitioner - Emergency Medicine 4880997170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnison Valley Hospital CurrentSince Oct 9, 2018 Accepting new patients
Cirrusmd Medical Group of Delaware, P.a. Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Edcare Consulting LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Gunnison Valley Hospital Current Accepting new patients
Gunnison Valley Hospital CurrentSince Oct 9, 2018 Accepting new patients
NC Emergency Physician Services, PLLC Emergency Medicine CurrentSince Sep 23, 2017 Accepting new patients
Gunnison Valley Hospital CurrentSince Dec 1, 2025 Accepting new patients
Wilson Emergency Physician Partners PLLC Emergency Medicine CurrentSince Jun 13, 2017 Accepting new patients

Locations

3000 Lawrence St
Ste 101
Denver, CO 80205

3000 Lawrence St
#101
Denver, CO 80205
Phone (720) 996-0522

3513 Brighton Blvd
Ste 230
Denver, CO 80216
Phone (303) 653-7720

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

2136 Ford Pkwy
Ste 5345
Saint Paul, MN 55116

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

865 State Route 33
Ste 3
Freehold, NJ 07728
Phone (424) 292-2923

1985 Henderson Rd
Columbus, OH 43220
Phone (419) 377-0591

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

504 Emily Dr
Clarksburg, WV 26301
Phone (304) 404-4099

Organizations & group practices 9

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1205255569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302208",
            "telephone_number": "970-641-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302208",
            "telephone_number": "970-641-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-10380",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0061211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.