Active NPI
Katherine Mieko Hogg, MD
- Pulmonary Disease Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD00025204
- Practice address
- 500 Lilly Rd NE Ste 204
Olympia, WA 98506-5197 - Phone
- (360) 413-8272
- Fax
- (360) 413-8878
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00025204 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD00025204 | WA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD00025204 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD00025204 | WA | Primary |
Addresses
Primary practice location
500 Lilly Rd NE Ste 204
Olympia, WA 98506-5197
Mailing address
PO Box 3360
Portland, OR 97208-3360
Other practice location 1
500 Lilly Rd NE
Suite 201
Olympia, WA 98506-5195
Phone (360) 413-8272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients |
Locations
914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516
413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480
500 Lilly Rd NE
Ste 201
Olympia, WA 98506
Phone (360) 413-8272
1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508
500 Lilly Rd NE
Ste 204
Olympia, WA 98506
Phone (360) 413-8191
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
410 Providence Ln NE
Bldg 2
Olympia, WA 98506
Phone (360) 493-4500
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Olympia, WA
- NPI 1023550050
-
- Surgical Physician Assistant
- Olympia, WA
- NPI 1851574750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1881657716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LILLY RD NE STE 204",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065197",
"telephone_number": "360-413-8272",
"fax_number": "360-413-8878"
}
],
"practiceLocations": [
{
"address_1": "500 Lilly Rd NE",
"address_2": "SUITE 201",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065195",
"country_code": "US",
"telephone_number": "360-413-8272",
"fax_number": "360-413-8878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGG",
"first_name": "KATHERINE",
"middle_name": "MIEKO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2021-03-30",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00025204",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD00025204",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WA",
"license": "MD00025204",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD00025204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.