NPIMap

Individual provider Active NPI

Laura I Hoganson, MD

  • Family Medicine Physician
  • Ronan, MT
National Provider Identifier
1295112944
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68506 Issued in MT
Practice address
126 6TH Ave SW
Ronan, MT 59864
Phone
(406) 676-3600
Fax
(406) 676-3738
NPI assigned
May 1, 2015
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 68506 MT Primary

Addresses

Primary practice location

126 6TH Ave SW
Ronan, MT 59864

Mailing address

126 6TH Ave SW
Ronan, MT 59864-2600
Phone (406) 676-3600

Other practice location 1

126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20190115003649 MT Practitioner - General PracticePractitioner - Family Practice 3274879044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Minnesota, Duluth School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

124 3Rd Ave E
Kalispell, MT 59901-4530
Phone (406) 607-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68506MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flathead Community Health Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Flathead Community Health Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients
St. Lukes Community Hospital Family Medicine Current Accepting new patients
St Lukes Community Hospital Family Medicine CurrentSince Oct 10, 2018 Accepting new patients
St Lukes Community Hospital CurrentSince Oct 10, 2018 Accepting new patients

Locations

1035 1st Ave W
Kalispell, MT 59901
Phone (406) 751-8105

1035 1st Ave W
Ste 210
Kalispell, MT 59901
Phone (406) 607-4900

124 3rd Ave E
Kalispell, MT 59901
Phone (406) 607-4900

107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

Organizations & group practices 5

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 8

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1295112944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642600",
            "telephone_number": "406-676-3600",
            "fax_number": "406-676-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "59864",
            "telephone_number": "406-676-3600",
            "fax_number": "406-676-3738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Ronan",
            "state": "MT",
            "postal_code": "59864",
            "country_code": "US",
            "telephone_number": "406-676-3600",
            "fax_number": "406-676-3738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGANSON",
        "first_name": "LAURA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "68506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronan, MT

Sources for this page

Verify at the official NPI Registry.