Active NPI
Adam D. Hogue, PA-C
- Physician Assistant
- Shawnee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1680
- Practice address
- 1501 N Airport Dr
Shawnee, OK 74804-4321 - Phone
- (405) 273-5801
- Fax
- (405) 878-3814
- NPI assigned
- Jan 18, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1680 | OK | Primary |
Addresses
Primary practice location
1501 N Airport Dr
Shawnee, OK 74804-4321
Mailing address
PO Box 849
Shawnee, OK 74802-0849
Phone (405) 273-5801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200131820A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 N Hwy 18
SSM Health Medical Group Chandler
Chandler, OK 74834-1200
Phone (405) 258-2500
2749 Progressive Dr
Edmond, OK 73034-7649
Phone (405) 772-4130
608 NW 9TH St
Oklahoma City, OK 73102-1049
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1680 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| St Anthony Shawnee Hospital Inc | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
114 N Highway 18
Chandler, OK 74834
Phone (405) 258-2500
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
3200 Medical Park Dr
Shawnee, OK 74804
Phone (405) 878-3432
1501 Airport Dr
Shawnee, OK 74804
Phone (405) 273-5801
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
Interoperability endpoints
- ahogue165166@direct-ehr-ssmhc.com
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ada, OK
- NPI 1932115722
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1689850836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 849",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748020849",
"telephone_number": "405-273-5801",
"fax_number": "405-878-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N AIRPORT DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748044321",
"telephone_number": "405-273-5801",
"fax_number": "405-878-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGUE",
"first_name": "ADAM",
"middle_name": "D.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-18",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200131820A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.