Individual provider Active NPI

Katherine Mieko Hogg, MD

  • Pulmonary Disease Physician
  • Olympia, WA
National Provider Identifier
1881657716
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD00025204 Issued in WA
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

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000430 WA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6002954062 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jan 1, 1994 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 1, 1994 Accepting new patients
Providence Health & Services Washington Current Accepting new patients
Providence Health & Services Washington CurrentSince May 1, 2016 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.

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

Verify at the official NPI Registry.