Organization Active NPI

Robert Hogg DO PLLC

  • Psychiatry Physician
  • Broken Arrow, OK
National Provider Identifier
1851012827
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Dec 2, 2024

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20220921000339 OK Part B Supplier - Clinic/Group Practice 7517342959 Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.