Active NPI
Shelley L Hogue, DPM
- Foot & Ankle Surgery Podiatrist
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000812T
- Practice address
- 800 W Boise Cir
Ste. 150
Broken Arrow, OK 74012-4906 - Phone
- (918) 274-1557
- Fax
- (918) 274-8557
- NPI assigned
- Jun 13, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000812T | IA | Primary |
Addresses
Primary practice location
800 W Boise Cir
Ste. 150
Broken Arrow, OK 74012-4906
Mailing address
PO Box 3500
Dept No 618
Claremore, OK 74018-3500
Phone (918) 274-1557
Other names 1
- Shelley L Farmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 W Boise Cir
Suite 150
Broken Arrow, OK 74012-4932
Phone (918) 274-1557
Hospital & facility affiliations
- Ascension St John Broken Arrow
- Ascension St John Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 97 |
| Removal of nail tissue | 165 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000812T | IA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration Foot & Ankle PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Restoration Foot & Ankle PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Northeast Iowa Podiatry PC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
800 W Boise Cir
Ste 150
Broken Arrow, OK 74012
Phone (918) 274-1557
Interoperability endpoints
- shelley.hogue@direct.stjohnhealthsystem.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Foot & Ankle Surgery Podiatrist
- Broken Arrow, OK
- NPI 1174705602
-
- Foot & Ankle Surgery Podiatrist
- Broken Arrow, OK
- NPI 1235462821
-
- Foot & Ankle Surgery Podiatrist
- Waterloo, IA
- NPI 1356387799
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1215197280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3500",
"address_2": "DEPT NO 618",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740183500",
"telephone_number": "918-274-1557",
"fax_number": "918-274-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W BOISE CIR",
"address_2": "STE. 150",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740124906",
"telephone_number": "918-274-1557",
"fax_number": "918-274-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGUE",
"first_name": "SHELLEY",
"middle_name": "L",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IA",
"license": "000812T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "FARMER",
"middle_name": "L",
"credential": "DPM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.