Active NPI
Gabrielle Elizabeth Hogaboom, CSA
- Surgical Assistant
- Indianapolis, IN
National Provider Identifier
1477846616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 3718
- Practice address
- 310 W Michigan St
Apt 238
Indianapolis, IN 46202-3226 - Phone
- (561) 371-7959
- Fax
- (561) 371-7959
- NPI assigned
- May 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 3718 | TX | Primary |
Addresses
Primary practice location
310 W Michigan St
Apt 238
Indianapolis, IN 46202-3226
Mailing address
310 W Michigan St
Apt 238
Indianapolis, IN 46202-3226
Phone (561) 371-7959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3718 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1477846616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W MICHIGAN ST",
"address_2": "APT 238",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023226",
"telephone_number": "561-371-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W MICHIGAN ST",
"address_2": "APT 238",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023226",
"telephone_number": "561-371-7959",
"fax_number": "561-371-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGABOOM",
"first_name": "GABRIELLE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "3718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.