Active NPI
James L Hogan, MD
- Emergency Medicine Physician
- Longmont, CO
National Provider Identifier
1912979832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19646
- Practice address
- 1925 Mountain View Ave
Longmont, CO 80501-3128 - Phone
- (303) 776-1234
- Fax
- (720) 494-3107
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19646 | CO | Primary |
Addresses
Primary practice location
1925 Mountain View Ave
Longmont, CO 80501-3128
Mailing address
1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234
Other practice location 1
1600 Prairie Center Pkwy
Brighton, CO 80601-4006
Phone (303) 458-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01196468 | Medicaid | CO | |
| 930103213 | Other | CO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19646 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Platte Valley Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Boulder Community Health | Past | Accepting new patients | |
| Boulder Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
Locations
311 Mapleton Ave
Boulder, CO 80304
Phone (303) 544-5700
4801 Riverbend Rd
Ste 300
Boulder, CO 80301
Phone (303) 415-8621
Organizations & group practices 6
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.
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- Primary Care Clinic/Center
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- Multi-Specialty Clinic/Center
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- NPI 1609822030
-
- Emergency Medicine Physician
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- NPI 1407454317
-
- Emergency Medicine Physician
- Brighton, CO
- NPI 1508836198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1912979832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 MOUNTAIN VIEW AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013128",
"telephone_number": "303-776-1234",
"fax_number": "720-494-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 MOUNTAIN VIEW AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013128",
"telephone_number": "303-776-1234",
"fax_number": "720-494-3107"
}
],
"practiceLocations": [
{
"address_1": "1600 Prairie Center Pkwy",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "CO",
"postal_code": "806014006",
"country_code": "US",
"telephone_number": "303-458-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGAN",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "19646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01196468",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "930103213",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.