Active NPI
Jessica Louise Hogan, MD
- Vascular Surgery Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2018016917
- Practice address
- 4401 Wornall Rd
Kansas City, MO 64111-3220 - Phone
- (816) 932-2000
- NPI assigned
- Jun 15, 2011
- Last updated
- Jan 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 94-07720 | KS | |
| Vascular Surgery Physician | 2086S0129X | 59229 | TN | |
| Vascular Surgery Physician | 2086S0129X | 2018016917 | MO | Primary |
Addresses
Primary practice location
4401 Wornall Rd
Kansas City, MO 64111-3220
Mailing address
24350 W 55TH St
Shawnee, KS 66226-2923
Phone (913) 749-9477
Other practice location 1
3901 Rainbow Blvd
Ms 2005
Kansas City, KS 66103-2937
Phone (913) 588-6124
Other practice location 2
2108 E 3rd St Ste 200
Chattanooga, TN 37404-2624
Phone (423) 267-0466
Other practice location 3
1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN, MO, UT, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 W Forest Ave
4TH Floor
Jackson, TN 38301-3937
Phone (731) 541-3310
709 N Justice St
Suite a
Hendersonville, NC 28791-3455
Phone (828) 697-7377
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-07720 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson County Hospital Corporation | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Single Specialty | Current | Accepting new patients |
| West Tennessee Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Single Specialty | Current | Accepting new patients |
| Henderson County Hospital Corporation | Single Specialty | Current | Accepting new patients |
| Cameron Regional Medical Center Inc | Single Specialty | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Single Specialty | Current | Accepting new patients |
| Cameron Regional Medical Center, Inc. | Single Specialty | Current | Accepting new patients |
| Ihc Health Services Inc | Single Specialty | Current | Accepting new patients |
| Hendersonville Hematology and Oncology@Pardee | Single Specialty | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394
709 N Justice St
Ste A
Hendersonville, NC 28791
Phone (828) 694-7630
800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000
569 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
700 W Forest Ave
Fl 4
Jackson, TN 38301
Phone (731) 541-0240
270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pardee Medical Associates
- Multi-Specialty Clinic/Center
- Hendersonville, NC
- NPI 1447444559
Single Specialty
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
Single Specialty
-
- General Acute Care Hospital
- Cameron, MO
- NPI 1811905375
Single Specialty
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
Single Specialty
-
dba King City Family Health
- Rural Health Clinic/Center
- King City, MO
- NPI 1861269318
Single Specialty
-
dba University of Michigan Health-Sparrow
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
Family Medicine
-
dba Sparrow Cardiovascular & Thoracic Surgeons
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
Single Specialty
-
dba Pardee Rx-Fleming
- Community/Retail Pharmacy
- Hendersonville, NC
- NPI 1013694165
-
dba Utah Valley TIA/Stroke Clinic
- Neurology Physician
- Provo, UT
- NPI 1417241704
Single Specialty
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Specialist
- Hendersonville, NC
- NPI 1780991349
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Margaret R. Pardee Memorial Hospital
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1679868913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24350 W 55TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662262923",
"telephone_number": "913-749-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-932-2000"
}
],
"practiceLocations": [
{
"address_1": "3901 Rainbow Blvd",
"address_2": "MS 2005",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661032937",
"country_code": "US",
"telephone_number": "913-588-6124",
"fax_number": "913-588-7540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2108 E 3rd St Ste 200",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374042624",
"country_code": "US",
"telephone_number": "423-267-0466",
"fax_number": "423-778-5177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 E Evergreen St",
"address_purpose": "LOCATION",
"city": "Cameron",
"state": "MO",
"postal_code": "644292400",
"country_code": "US",
"telephone_number": "816-632-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGAN",
"first_name": "JESSICA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "94-07720",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "59229",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2018016917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.