Hanna Fogg, D.O.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4735 Issued in TN

Practice address

6126 E 61St St
Tulsa, OK 74136-2117

Phone

(918) 576-6998

Fax

(918) 584-8620

NPI assigned

Mar 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hanna Crow Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Endocrinology

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osumc Professional Services LLCGroup PAC ID 9234254012, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
• Direct secure messaging: hcrow114985@direct.saintfrancis.com

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.

• Osumc Professional Services LLC

  dba OSU Medical Group

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1922325992

  Endocrinology, Diabetes & Metabolism

  Medicare reassignment Care Compare group NPD
• Saint Thomas Medical Partners

  dba Ascension Medical Group Saint Thomas

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  NPD
• Saint Thomas Medical Partners

  dba Ascension Medical Group Saint Thomas

  • Mobile Mammography Clinic/Center
  • Nashville, TN
  • NPI 1881981033
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oklahoma State University Medical Trust

  dba Oklahoma State University Medical Center

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1578704938
  Care Compare affiliation

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1730620246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N FL 9",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 E 61ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741362117",
            "telephone_number": "918-576-6998",
            "fax_number": "918-584-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGG",
        "first_name": "HANNA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TN",
            "license": "4735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNA",
            "last_name": "CROW",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Flynn, RSS
• Laurie Wolford Flynn, MD
• Shannon Dawn Flynn, BA, CM
• FMC Pharmacy LLC (Family and Childrens Services)
• Focus Family Eyecare PLLC (Focus Family Eyecare)
• Kristi Renee Fogleman, RN, BSN,
• Michael J Fogli, M.D.
• Shawna Foley
• La Maria D Folks, APRN, PMHNP-BC
• Komi Semenou Folly Jr., M.D

• Endocrinology, Diabetes & Metabolism Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Endocrinology, Diabetes & Metabolism Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.

Verify at the official NPI Registry.