Patrick J Hogan III, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

OP00000793 Issued in WA

Practice address

5006 Center St Ste U
Tacoma, WA 98409-2314

Phone

(253) 284-4488

Fax

(253) 272-4771

NPI assigned

Jun 30, 2005

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Specialty

Neurology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Puget Sound Neurology, PLLCGroup PAC ID 4486789427, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.hogan.iii.1@29018.direct.athenahealth.com

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.

• South Puget Sound Neurology, PLLC

  • Neurology Physician
  • Tacoma, WA
  • NPI 1194052357
  Medicare reassignment Care Compare group NPD
• Patrick J. Hogan III, D.O.

  dba Puget Sound Neurology

  • Neurology Physician
  • Tacoma, WA
  • NPI 1871649285
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1245237734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 CENTER ST STE U",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092314",
            "telephone_number": "253-284-4488",
            "fax_number": "253-272-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 CENTER ST STE U",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092314",
            "telephone_number": "253-284-4488",
            "fax_number": "253-272-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "OP00000793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "H02398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BC",
            "identifier": "911370954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL COMMERCIAL INSURANCE",
            "identifier": "911370954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L & I",
            "identifier": "13162",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "GH047945001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devina Ann Hoffman
• Julia Eve Hoffman, PSY.D.
• Tracy Sue Hoffman
• Shawn P Hoffrogge, DOC
• Amanda G Hogan, RDA
• Tracy Hogg
• Cole Hoglund
• Jacob Hogue, M.D.
• Erin Rae Hohman, ARNP
• Marc Hale Hohman, M.D.

• Neurology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.

Verify at the official NPI Registry.