Active NPI
Kenneth E. Hoogs MD PC
- Urology Physician
- Syracuse, NY
National Provider Identifier
1730483348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 1080211
- Legal business name
- KENNETH E. HOOGS MD PC
- Practice address
- 100 Intrepid Lane
Syracuse, NY 13205 - Phone
- (315) 492-4064
- Fax
- (315) 492-4066
- NPI assigned
- Dec 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Everett Hoogs, MD
- Title
- President
- Phone
- (315) 492-4064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 1080211 | NY | Primary |
Addresses
Primary practice location
100 Intrepid Lane
Syracuse, NY 13205
Mailing address
100 Intrepid Lane
Syracuse, NY 13205
Phone (315) 492-4064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00508865 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293062400000",
"number": "1730483348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 INTREPID LANE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13205",
"telephone_number": "315-492-4064",
"fax_number": "315-492-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INTREPID LANE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13205",
"telephone_number": "315-492-4064",
"fax_number": "315-492-4066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH E. HOOGS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-23",
"last_updated": "2010-12-23",
"status": "A",
"authorized_official_last_name": "HOOGS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "EVERETT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-492-4064",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "NY",
"license": "1080211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00508865",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.