Active NPI
Redmond Prindiville Hogan III, M.D.
- Hematology & Oncology Physician
- Indianapolis, IN
National Provider Identifier
1760798326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 01026451B
- Practice address
- 2808 W 44TH St
Indianapolis, IN 46228-3147 - Phone
- (317) 291-1765
- NPI assigned
- Aug 20, 2010
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 01026451B | IN | Primary |
Addresses
Primary practice location
2808 W 44TH St
Indianapolis, IN 46228-3147
Mailing address
2808 W 44TH St
Indianapolis, IN 46228-3147
Phone (317) 291-1765
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026451B | IN | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1760798326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 W 44TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462283147",
"telephone_number": "317-291-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 W 44TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462283147",
"telephone_number": "317-291-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "REDMOND",
"middle_name": "PRINDIVILLE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01026451B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.