Active NPI
Keith Jacob Dohogne, PA-C
- Physician Assistant
- San Antonio, TX
National Provider Identifier
1548757099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11921
- Practice address
- 2277 NW Military Hwy Ste 100
San Antonio, TX 78213-1853 - Phone
- (210) 342-7300
- NPI assigned
- Apr 19, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11921 | TX | Primary |
Addresses
Primary practice location
2277 NW Military Hwy Ste 100
San Antonio, TX 78213-1853
Mailing address
7039 Plains Way
San Antonio, TX 78253-4400
Phone (915) 799-7594
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 |
|---|---|---|---|
| PA11921 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hormazd Sanjana M.D., P.a. | Past | Accepting new patients | |
| Richard Palmer, M.D., P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1407082373
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1619157138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1548757099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7039 PLAINS WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534400",
"telephone_number": "915-799-7594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2277 NW MILITARY HWY STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131853",
"telephone_number": "210-342-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHOGNE",
"first_name": "KEITH",
"middle_name": "JACOB",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.