Eric S Hogan, D.O.
Individual provider Active NPI Family Medicine Physician · Clinton, UT
NPI 1669769451 · NPPES record last updated Mar 4, 2016
Key facts
- NPI
- 1669769451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9410724-8904 (UT)
- Practice address
- 1477 N 2000 W
Suite C
Clinton, UT 84015-8638 - Phone
- (801) 774-8888
- Fax
- (801) 825-8519
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tanner Memorial Clinic
Practice addresses (Care Compare)
2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840
Hospital & facility affiliations
- Intermountain Health McKay-Dee Hospital
- Holy Cross Hospital-Davis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- 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 |
|---|---|---|---|---|
| I20150721003324 | UT | Practitioner - Family Practice |
9537389473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9410724-8904 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Memorial Clinic | Current |
Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Tanner Memorial Clinic | Family Medicine | Current |
Accepting new patients |
Locations
1477 N 2000 W
Clinton, UT 84015
Phone (801) 774-8888
1477 N 2000 W
Ste C
Clinton, UT 84015
Phone (801) 546-9441
Interoperability endpoints
- eric.hogan.p1@direct.tannerclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9410724-8904 | UT | Yes |
Addresses
Primary practice location
1477 N 2000 W
Suite C
Clinton, UT 84015-8638
Mailing address
1477 N 2000 W
Suite C
Clinton, UT 84015-8638
Phone (801) 774-8888
Other providers in Clinton, UT
- Makenzie Hart
- Christine Marie Herzog Coleman
- Jason G Hess
- Teralynn Noel Hill
- Loriann Hillyard
- Brooke Howell
- James Charles Hoye
- Imbody Health
- Kelly Cross Imlay
- Jasmer Health LLC
All providers in Clinton, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2016. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.