Active NPI
Tony Lynn Hogan, ARNP
- Family Nurse Practitioner
- Glasgow, KY
National Provider Identifier
1366610826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3005287
- Practice address
- 100 Reynolds Rd
Ste a
Glasgow, KY 42141-1127 - Phone
- (270) 651-6707
- Fax
- (270) 651-1751
- NPI assigned
- Feb 18, 2008
- Last updated
- Jan 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5287P | KY | |
| Family Nurse Practitioner | 363LF0000X | 3005287 | KY | Primary |
Addresses
Primary practice location
100 Reynolds Rd
Ste a
Glasgow, KY 42141-1127
Mailing address
100 Reynolds Rd
Ste a
Glasgow, KY 42141-1127
Phone (270) 651-6707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081229000499 | KY | Practitioner - Nurse Practitioner | 3476615436 | Practice locations: Glasgow, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5287P | KY | MD | Nurse Practitioner |
| 3005287 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David C. German M.D., PSC | Past | Accepting new patients | |
| My 3 C's Enterprises, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Glasgow, KY
- NPI 1528249752
-
- General Practice Physician
- Edmonton, KY
- NPI 1902027865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1366610826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 REYNOLDS RD",
"address_2": "STE A",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421411127",
"telephone_number": "270-651-6707",
"fax_number": "270-651-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 REYNOLDS RD",
"address_2": "STE A",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421411127",
"telephone_number": "270-651-6707",
"fax_number": "270-651-1751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "TONY",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-18",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "5287P",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3005287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.