Individual provider Active NPI

Elisabeth Hyde Nogan, MD

  • Family Medicine Physician
  • New Albany, OH
National Provider Identifier
1649563453
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35123919 Issued in OH
Practice address
240 Market St
Ste a
New Albany, OH 43054-7095
Phone
(614) 293-4980
Fax
(614) 293-4982
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35123919 OH Primary

Addresses

Primary practice location

240 Market St
Ste a
New Albany, OH 43054-7095

Mailing address

240 Market St
Ste a
New Albany, OH 43054-7095
Phone (614) 293-4980

Other identifiers 1

IdentifierTypeStateIssuer
0106395MedicaidOH

Other names 1

  • Elisabeth M Hyde Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140811000976 OH Practitioner - Family Practice 4183841489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

1945 Newark Granville Rd
Granville, OH 43023-9169
Phone (614) 627-1870

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35123919OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Aug 31, 2025 Accepting new patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Aug 31, 2025 Accepting new patients

Locations

1945 Newark Granville Rd
Granville, OH 43023
Phone (614) 627-1870

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: enogan4537346@direct.trinity-health.org
  • Direct secure messaging: ehyde251718@direct.osumc.edu

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.

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1649563453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MARKET ST",
            "address_2": "STE A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547095",
            "telephone_number": "614-293-4980",
            "fax_number": "614-293-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MARKET ST",
            "address_2": "STE A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547095",
            "telephone_number": "614-293-4980",
            "fax_number": "614-293-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGAN",
        "first_name": "ELISABETH",
        "middle_name": "HYDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35123919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106395",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "HYDE",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.