Frederick A Hogan, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009418 Issued in MI

Practice address

609 E Jolly Rd
Suite 12 C
Lansing, MI 48910-6817

Phone

(517) 882-3900

Fax

(517) 882-5060

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 26, 2016 through Jul 26, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

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.

• Biolight Therapeutics LLC

  • Legal Medicine
  • Detroit, MI
  • NPI 1629281068
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1801974050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E JOLLY RD",
            "address_2": "SUITE 12 C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106817",
            "telephone_number": "517-882-3900",
            "fax_number": "517-882-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E JOLLY RD",
            "address_2": "SUITE 12 C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106817",
            "telephone_number": "517-882-3900",
            "fax_number": "517-882-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "FREDERICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E01007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlyne Hoekzema, LPC, CAADC
• Meghann Hoff, PHARMD
• Alisa Diana Hoffman, D.C.
• Andrew R Hoffmann
• Stacy B Hofmeister, RDH
• Megan Hohl, NP
• Dana Nicole Hoisington
• David H Hoisington, M.D.
• Kara J Hoisington
• April Lynne Hoke

• Family Medicine Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.