Organization Active NPI

Hogan Medical Clinic LLC

  • Family Medicine Physician
  • Valliant, OK
National Provider Identifier
1578082814
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOGAN MEDICAL CLINIC LLC
Practice address
101 E Terri Dr
Valliant, OK 74764-6801
Phone
(918) 689-2500
NPI assigned
Sep 19, 2017
Last updated
Sep 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Authorized official

Name
Eric Hogan, DO
Title
Owner
Phone
(918) 689-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

101 E Terri Dr
Valliant, OK 74764-6801

Mailing address

6966 S Utica Ave Ste 225
Tulsa, OK 74136-3903
Phone (918) 492-6333

National Provider Directory

National Provider Directory

Locations

101 E Terri Dr
Valliant, OK 74764
Phone (580) 933-9025

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1578082814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6966 S UTICA AVE STE 225",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363903",
            "telephone_number": "918-492-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E TERRI DR",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "747646801",
            "telephone_number": "918-689-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGAN MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-689-2500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valliant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.