Active NPI
Elizabeth A Hogan, MD
- Psychiatry Physician
- Colorado Springs, CO
National Provider Identifier
1376820316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 070683
- Practice address
- 606 S Tejon St
Colorado Springs, CO 80903-4026 - Phone
- (719) 331-5824
- NPI assigned
- Nov 4, 2011
- Last updated
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C54816 | CA | |
| Psychiatry Physician | 2084P0800X | ME143038 | FL | |
| Psychiatry Physician | 2084P0800X | DR-38236 | CO | |
| Psychiatry Physician | 2084P0800X | 070683 | GA | Primary |
Addresses
Primary practice location
606 S Tejon St
Colorado Springs, CO 80903-4026
Mailing address
606 S Tejon St
Colorado Springs, CO 80903-4026
Phone (719) 331-5824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 40.82 of 100
- Quality
- 9.1
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 43.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54816 | CA | MD | Psychiatry Physician |
| ME143038 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1376820316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 S TEJON ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809034026",
"telephone_number": "719-331-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 S TEJON ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809034026",
"telephone_number": "719-331-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C54816",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME143038",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR-38236",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "070683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.