Jack S. Hogan Jr.

Primary specialty

General Care Certified Respiratory TherapistTaxonomy code 2278G1100X

License

4417 Issued in SC

Practice address

773 Main St
North Myrtle Beach, SC 29582-3029

Phone

(843) 269-6737

Fax

(843) 281-0126

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Professional Pharmacy Services, Inc

  dba Coastal Respiratory and Brace Store

  • Oxygen Equipment & Supplies (DME)
  • North Myrtle Beach, SC
  • NPI 1598758955
  NPD (past)

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1306472535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 MAIN ST",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823029",
            "telephone_number": "843-269-6737",
            "fax_number": "843-281-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 MAIN ST",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823029",
            "telephone_number": "843-269-6737",
            "fax_number": "843-281-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JACK",
        "middle_name": "S.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "SC",
            "license": "4417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon J Heath, DC
• Cheryl Henson, PA
• Makayla Marie Hess, FNP-BC
• Michael A. Hessler Sr., LPC
• Kristin L Heter
• Michael D Holland, MD
• Susan A. Holt, O.D.
• Home Care of Myrtle Beach
• Kara Houston, PT, DPT, ATC
• Christopher Michael Howard, DMD

• Certified Respiratory Therapist in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Certified Respiratory Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.