Individual provider Active NPI

Anne E Hogan, MS, PHD, CCC-A

  • Audiologist
  • Broken Arrow, OK
National Provider Identifier
1881815157
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6163 Issued in OK
Practice address
800 W Boise Cir Ste 320
Broken Arrow, OK 74012-4954
Phone
(918) 994-9150
Fax
(918) 403-6323
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001377 VA
Audiologist 231H00000X 6320 NC
Audiologist 231H00000X 030776 OR
Audiologist 231H00000X 6163 OK Primary

Addresses

Primary practice location

800 W Boise Cir Ste 320
Broken Arrow, OK 74012-4954

Mailing address

1923 S Utica Ave
Credentialing Ofc, Ground FL
Tulsa, OK 74104-6520
Phone (918) 403-7065

Other practice location 1

1919 S Wheeling Ave Ste 500
Tulsa, OK 74104-5634
Phone (918) 403-6284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424002924 OK Practitioner - Qualified Audiologist 7113084054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

1919 S Wheeling Ave
Tulsa, OK 74104-5634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6320NCMDPediatric Dentist
6163OKMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jun 12, 2024 Accepting new patients
St. John Physicians, Inc. CurrentSince Jun 2, 2024 Accepting new patients
Augusta Audiology Associates PC Audiologist PastSince Jun 16, 1994 Accepting new patients

Locations

800 W Boise Cir
Ste 320
Broken Arrow, OK 74012
Phone (918) 994-9150

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1923 S Utica Ave
Ofc
Tulsa, OK 74104

1919 S Wheeling Ave
Ste 500
Tulsa, OK 74104
Phone (918) 293-6200

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Organizations & group practices 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1881815157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "address_2": "CREDENTIALING OFC, GROUND FL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-403-7065",
            "fax_number": "918-744-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BOISE CIR STE 320",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124954",
            "telephone_number": "918-994-9150",
            "fax_number": "918-403-6323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 S Wheeling Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045634",
            "country_code": "US",
            "telephone_number": "918-403-6284",
            "fax_number": "918-403-6323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "ANNE",
        "middle_name": "E",
        "credential": "MS, PHD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001377",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "6320",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "030776",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "6163",
            "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 May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.