NPIMap

Organization Active NPI

Hogan Surgical Center, P. a. - Crna Services

  • Certified Registered Nurse Anesthetist
  • Gulfport, MS
National Provider Identifier
1396908976
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
HOGAN SURGICAL CENTER, P. A. - CRNA SERVICES
Practice address
351 Cowan Rd
Gulfport, MS 39507-2019
Phone
(228) 896-1120
Fax
(228) 896-1332
NPI assigned
Jul 3, 2008
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Christopher D. Hogan, M.D.NPI 1417950833
Title
President
Phone
(228) 896-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

351 Cowan Rd
Gulfport, MS 39507-2019

Mailing address

351 Cowan Rd
Gulfport, MS 39507-2019
Phone (228) 896-1120

Other names 1

  • CRNA services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070618000014 MS Part B Supplier - Clinic/Group Practice 4880791490 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gulfport, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Crna Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1396908976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072019",
            "telephone_number": "228-896-1120",
            "fax_number": "228-896-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072019",
            "telephone_number": "228-896-1120",
            "fax_number": "228-896-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGAN SURGICAL CENTER, P. A. - CRNA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-896-1120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRNA services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CRNA services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.