Lisa Ann Hogan, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2007-00584 Issued in NC

Practice address

10940 Raven Ridge Rd
Suite 214
Raleigh, NC 27614-6610

Phone

(919) 847-1495

Fax

(919) 847-1549

NPI assigned

May 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1821316654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 RAVEN RIDGE RD",
            "address_2": "SUITE 214",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146610",
            "telephone_number": "919-847-1495",
            "fax_number": "919-847-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 RAVEN RIDGE RD",
            "address_2": "SUITE 214",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146610",
            "telephone_number": "919-847-1495",
            "fax_number": "919-847-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2007-00584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Caitlin Hoffstetter, M.ED., ATR-P
• Skylar Alexis McLaurin Hofmann
• Sara Michelle Hofmeier, MS, LCMHCS, CEDS
• Danielle L Hogan, PA
• Laurie Rancik Hogan, NP
• Maria Lou Hogan, LCSW
• Rachel Elizabeth Hogan
• Victoria Hogberg
• Abigail Sarah Hogg, PHARMD
• Jeffrey Gordon Hoggard, M.D.

• Dermatology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.