Active NPI
Hogan Medical Clinic LLC
- Family Medicine Physician
- Valliant, OK
National Provider Identifier
1578082814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.