Active NPI
Philip Fly Hogue, CRNA
- Certified Registered Nurse Anesthetist
- Jasper, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-030499
- Practice address
- 3400 Highway 78 E
Jasper, AL 35501-8907 - Phone
- (205) 387-4741
- Fax
- (205) 221-5474
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-030499 | AL | Primary |
Addresses
Primary practice location
3400 Highway 78 E
Jasper, AL 35501-8907
Mailing address
PO Box 1427
Jasper, AL 35502-1427
Phone (205) 221-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00940873 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040727001454 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6709856834 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cullman Regional Anesthesia Services LLC
Practice addresses (Care Compare)
1912 Al Hwy 157
Cullman, AL 35058-0609
Phone (256) 737-2496
Hospital & facility affiliations
- Cullman Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-030499 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cullman Regional Anesthesia Services LLC | Current | Accepting new patients | |
| Medical Anesthesia Group, PA | Past | Accepting new patients | |
| Ambulatory Anesthesia Associates of Montgomery, PC | Past | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Past | Accepting new patients |
Locations
1403 Wall St
Cullman, AL 35055
Phone (256) 734-9472
1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1639130537
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1679527501
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cullman, AL
- NPI 1114919339
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1689633208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1427",
"city": "JASPER",
"state": "AL",
"postal_code": "355021427",
"telephone_number": "205-221-5454",
"fax_number": "205-221-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 HIGHWAY 78 E",
"city": "JASPER",
"state": "AL",
"postal_code": "355018907",
"telephone_number": "205-387-4741",
"fax_number": "205-221-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGUE",
"first_name": "PHILIP",
"middle_name": "FLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-030499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00940873",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.