Individual provider Active NPI

Gregory Allen Hogle, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Denver, CO
National Provider Identifier
1689669970
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
27338 Issued in CO
Practice address
4600 Hale Pkwy
Ste 450
Denver, CO 80220-4020
Phone
(303) 333-2119
Fax
(303) 333-2016
NPI assigned
Sep 13, 2005
Last updated
Dec 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 27338 CO
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 27338 CO Primary
Otolaryngic Allergy Physician 207YX0602X 27338 CO

Addresses

Primary practice location

4600 Hale Pkwy
Ste 450
Denver, CO 80220-4020

Mailing address

4600 Hale Pkwy
Ste 450
Denver, CO 80220-4020
Phone (303) 333-2119

Other identifiers 1

IdentifierTypeStateIssuer
01273382MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20090105000524 CO Practitioner - Otolaryngology 3476616277 Practice locations: Denver, CO

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27338COMDOtolaryngic Allergy Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230681600000",
    "number": "1689669970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 HALE PKWY",
            "address_2": "STE 450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204020",
            "telephone_number": "303-333-2119",
            "fax_number": "303-333-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HALE PKWY",
            "address_2": "STE 450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204020",
            "telephone_number": "303-333-2119",
            "fax_number": "303-333-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGLE",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "27338",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CO",
            "license": "27338",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CO",
            "license": "27338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01273382",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.