NPIMap

Organization Active NPI

Roger S Hogue MD PA

Doing business as MN Regenerative Medicine

  • Specialist
  • Maple Grove, MN
National Provider Identifier
1437560141
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
37641 Issued in MN
Legal business name
ROGER S HOGUE MD PA
Doing business as
MN Regenerative Medicine
Practice address
7365 Kirkwood CT N
Suite 120
Maple Grove, MN 55369-4721
Phone
(763) 447-2500
Fax
(763) 447-2505
NPI assigned
May 15, 2014
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Roger S Hogue, MD
Title
Owner
Phone
(763) 447-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 37641 MN Primary

Addresses

Primary practice location

7365 Kirkwood CT N
Suite 120
Maple Grove, MN 55369-4721

Mailing address

7365 Kirkwood CT N
Suite 120
Maple Grove, MN 55369-4721
Phone (763) 447-2500

Other names 1

  • MN Regenerative Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

550 W Burnsville Pkwy
Ste 201
Burnsville, MN 55337
Phone (605) 274-0217

115 Willow St W
Detroit Lakes, MN 56501
Phone (218) 844-5191

19905 Highway 7
Ste Ab
Excelsior, MN 55331
Phone (952) 474-8346

1901 Madison Ave
Ste 130
Mankato, MN 56001

7365 Kirkwood Ct N
Maple Grove, MN 55369

212 Clydesdale Trl
Ste 1030
Medina, MN 55340
Phone (800) 834-6362

4916 Highway 61 N
White Bear Lake, MN 55110
Phone (651) 429-2656

1605 E Capitol Ave
Ste A
Bismarck, ND 58501
Phone (701) 232-8346

383 W Steamboat Dr
Ste 103
Dakota Dunes, SD 57049
Phone (605) 235-1630

5009 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 274-0217

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1437560141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 KIRKWOOD CT N",
            "address_2": "SUITE 120",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694721",
            "telephone_number": "763-447-2500",
            "fax_number": "763-447-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 KIRKWOOD CT N",
            "address_2": "SUITE 120",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694721",
            "telephone_number": "763-447-2500",
            "fax_number": "763-447-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER S HOGUE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "HOGUE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-447-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "37641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MN Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.