Active NPI
Kevin Todd Mogish, MHPP
- Case Manager/Care Coordinator
- Little Rock, AR
National Provider Identifier
1710196480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1020 W Daisy L Gatson Bates Dr
Little Rock, AR 72202-5402 - Phone
- (501) 371-9058
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1020 W Daisy L Gatson Bates Dr
Little Rock, AR 72202-5402
Mailing address
2706 Brasco Rd
Jacksonville, AR 72076-8535
Phone (501) 425-3060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710196480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 BRASCO RD",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720768535",
"telephone_number": "501-425-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W DAISY L GATSON BATES DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722025402",
"telephone_number": "501-371-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGISH",
"first_name": "KEVIN",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "MHPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.