Active NPI
Robert Hogg DO PLLC
- Psychiatry Physician
- Broken Arrow, OK
National Provider Identifier
1851012827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ROBERT HOGG DO PLLC
- Practice address
- 512 W Atlanta St
Broken Arrow, OK 74012-7004 - Phone
- (918) 370-4461
- Fax
- (918) 512-4723
- NPI assigned
- Sep 8, 2022
- 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
- Robert David Hogg, DO
- Title
- Sole Member/Psychiatrist
- Phone
- (918) 370-4461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
512 W Atlanta St
Broken Arrow, OK 74012-7004
Mailing address
6528 E 101St St
D1 #223
Tulsa, OK 74133
Phone (918) 370-4461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220921000339 | OK | Part B Supplier - Clinic/Group Practice | 7517342959 | Practice locations: Tulsa, OK |
National Provider Directory
National Provider DirectoryLocations
512 W Atlanta St
Broken Arrow, OK 74012
Phone (918) 370-4461
8211 E Regal Pl
Ste 201
Tulsa, OK 74133
Phone (918) 383-9096
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Broken Arrow, OK
- NPI 1457937138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1851012827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6528 E 101ST ST",
"address_2": "D1 #223",
"city": "TULSA",
"state": "OK",
"postal_code": "74133",
"telephone_number": "918-370-4461",
"fax_number": "918-512-4723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 W ATLANTA ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127004",
"telephone_number": "918-370-4461",
"fax_number": "918-512-4723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT HOGG DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-08",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "HOGG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "SOLE MEMBER/PSYCHIATRIST",
"authorized_official_telephone_number": "918-370-4461",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.