Individual provider Active NPI

Michael Hogwood, MA, CCC-SLP

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1699177279
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3879 Issued in KS
Practice address
1861 N Rock Rd Ste 101
Wichita, KS 67206-1264
Phone
(316) 358-9199
Fax
(316) 358-9199
NPI assigned
Sep 25, 2014
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3879 KS Primary

Addresses

Primary practice location

1861 N Rock Rd Ste 101
Wichita, KS 67206-1264

Mailing address

13213 W 21St CT Ste 104
Wichita, KS 67235-9625
Phone (316) 573-6802

Other identifiers 1

IdentifierTypeStateIssuer
30004652210001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930000709 KS Practitioner - Qualified Speech Language Pathologist 8729318076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech Swallowing and Voice Center PAGroup PAC ID 7719033562, 5 clinicians

Practice addresses (Care Compare)

13213 W 21St CT N
Wichita, KS 67235-9625
Phone (316) 295-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Swallowing and Voice Center PA Speech-Language Pathologist CurrentSince Aug 23, 2019 Accepting new patients

Locations

13213 W 21st Ct N
#104
Wichita, KS 67235
Phone (316) 295-6845

151 N Ridge Rd
Ste 6
Wichita, KS 67212
Phone (316) 779-2560

1861 N Rock Rd
Ste 101
Wichita, KS 67206
Phone (316) 358-9199

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1699177279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13213 W 21ST CT STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359625",
            "telephone_number": "316-573-6802",
            "fax_number": "316-721-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061264",
            "telephone_number": "316-358-9199",
            "fax_number": "316-358-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGWOOD",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004652210001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.

Verify at the official NPI Registry.