Individual provider Active NPI

Christopher W Hogan, CRNA

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1477871242
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0094985 Issued in OK
Practice address
750 NE 13TH St
Suite 200
Oklahoma City, OK 73104
Phone
(405) 271-5351
Fax
(405) 271-8695
NPI assigned
May 4, 2010
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2005027078 MO
Certified Registered Nurse Anesthetist 367500000X R0094985 OK Primary

Addresses

Primary practice location

750 NE 13TH St
Suite 200
Oklahoma City, OK 73104

Mailing address

1400 W 4TH St
Suite 200
Coffeyville, KS 67337-3306
Phone (620) 252-1581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408001126 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113059957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffeyville Regional Medical Center, Inc.Group PAC ID 9032108865, shared by 4 NPIs, 22 clinicians

Practice addresses (Care Compare)

1400 W 4TH St
Coffeyville, KS 67337-3306
Phone 62025112001147

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
69.28
Promoting interoperability
100
Improvement activities
40
Cost
56.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2005027078MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coffeyville Regional Medical Center Inc CurrentSince Apr 4, 2016 Accepting new patients
Coffeyville Regional Medical Center, Inc. CurrentSince Apr 4, 2016 Accepting new patients
Anesthesia Services of Blue Springs Past Accepting new patients
Anesthesia Services of Eastern Jackson County, P.C. Past Accepting new patients
Digestive Health Specialists, LLC PastSince Oct 1, 2015 Accepting new patients
Summit Gastroenterology LLC PastSince Oct 31, 2005 Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

1400 W 4th St
Ste 200
Coffeyville, KS 67337

Interoperability endpoints

  • Direct secure messaging: chogan@direct.crmcinc.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1477871242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST",
            "address_2": "SUITE 200",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373306",
            "telephone_number": "620-252-1581",
            "fax_number": "620-252-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-5351",
            "fax_number": "405-271-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2005027078",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0094985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.