Individual provider Active NPI

Christopher Taro Hogg, DO

  • Orthopaedic Surgery Physician
  • Carbondale, IL
National Provider Identifier
1518998202
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036108946 Issued in IL
Practice address
305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone
(618) 457-3006
Fax
(618) 457-3008
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101022183 MI
Orthopaedic Surgery Physician 207X00000X 20A17676 CA
Orthopaedic Surgery Physician 207X00000X 02003449A IN
Orthopaedic Trauma Physician 207XX0801X 036108946 IL
Orthopaedic Surgery Physician 207X00000X 036108946 IL Primary

Addresses

Primary practice location

305 W Jackson St Ste 206
Carbondale, IL 62901-1474

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200

Other practice location 1

2449 Hospital Dr Ste 200
Bossier City, LA 71111-1905
Phone (318) 425-8701

Other practice location 2

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other identifiers 3

IdentifierTypeStateIssuer
000000844180OtherINANTHEM
036108946MedicaidIL
201200480MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chogg40445@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081007000219 IL Practitioner - Orthopedic Surgery 9537190988 Reassigns benefits to 1 organization
I20160923000071 MI Practitioner - Orthopedic Surgery 9537190988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Nova Southeastern College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

360 E Chicago St
106F Coldwater General Surgery
Coldwater, MI 49036-2086
Phone (517) 279-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17676CAMDOrthopedic Chiropractor
20A17676CAMDOrthopaedic Surgery Physician
036108946ILMDOrthopaedic Surgery Physician
02003449AINMDOrthopaedic Surgery Physician
5101022183MIMDOrthopaedic Surgery Physician
4798AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County CurrentSince Feb 1, 2021 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County CurrentSince Feb 1, 2021 Accepting new patients
Hillsdale Community Health Center Orthopaedic Surgery CurrentSince Dec 26, 2017 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Aug 31, 2020 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
Community Health Center of Branch County Past Accepting new patients
Southern Illinois Medical Services, NFP PastSince Jan 10, 2021 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

305 W Jackson St
Ste 206
Carbondale, IL 62901
Phone (618) 457-3006

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

305 W Jackson St
Ste 302
Carbondale, IL 62901
Phone (618) 457-3006

360 E Chicago St
Ste 111
Coldwater, MI 49036
Phone (517) 278-0910

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

61 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-5020

Interoperability endpoints

  • Direct secure messaging: chogg213826@direct.promedica.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518998202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST STE 206",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-457-3006",
            "fax_number": "618-457-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2449 Hospital Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711111905",
            "country_code": "US",
            "telephone_number": "318-425-8701",
            "fax_number": "318-424-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGG",
        "first_name": "CHRISTOPHER",
        "middle_name": "TARO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101022183",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A17676",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02003449A",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "IL",
            "license": "036108946",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036108946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000844180",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108946",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201200480",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chogg40445@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 W Jackson St Ste 206",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.