Austin Richard Hoggarth
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bismarck, ND
NPI 1609497965 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1609497965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 15010 Sundown Dr
Bismarck, ND 58503-9207 - Phone
- (701) 269-2860
- NPI assigned
- Apr 28, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200806002917 | VA | Order and Referring Only - Neurosurgery |
5395160410 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
15010 Sundown Dr
Bismarck, ND 58503-9207
Mailing address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other providers in Bismarck, ND
- Toni Hoffman
- Trina Hoffman
- Rebecca Hoffmann
- Amber Rose Hoffner
- Jason Lee Hogan
- Jennifer A Hoggarth
- Hayley Hogue
- Danielle Diane Hohbein
- Harley Arthur Holden
- Melissa Raye Holen
All providers in Bismarck, ND · Student in an Organized Health Care Education/Training Program in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.