Active NPI
Paul Joseph Shogan, D.O.
- Diagnostic Radiology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 570
- Practice address
- Walter Reed Army Medical Center 6900 Georgia Avenue NW
Washington, DC 20307-0001 - Phone
- (202) 782-7428
- NPI assigned
- Dec 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 570 | NE | Primary |
Addresses
Primary practice location
Walter Reed Army Medical Center 6900 Georgia Avenue NW
Washington, DC 20307-0001
Mailing address
1970E 53Rd St
Davenport, IA 52807-2710
Phone (563) 359-3949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, SC, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Philadelphia College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24276 166TH Airport Rd
Eagle Butte, SD 57625-1022
Phone 60596477240515
9 Hemingford Cir
Simpsonville, SC 29681-4874
Phone (469) 757-1042
PO Box
Suite 1012
Eagle Butte, SD 57625-1012
Hospital & facility affiliations
- St Francis-Downtown
- Eagle Butte Indian Health Service Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570 | NE | MD | Clinical Neuropsychologist |
| 36754 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Walton Rural Hospital, LLC | Current | Accepting new patients | |
| Davis Radiology, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients |
Locations
4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171
1970 E 53rd St
Davenport, IA 52807
Phone (563) 359-3949
5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 5
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.
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1083491906
-
- Diagnostic Radiology Physician
- Mt Pleasant, IA
- NPI 1538129721
-
- Rural Acute Care Hospital
- Defuniak Springs, FL
- NPI 1750142121
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1700060274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970E 53RD ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072710",
"telephone_number": "563-359-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED ARMY MEDICAL CENTER 6900 GEORGIA AVENUE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-782-7428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOGAN",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-19",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.