MRS. JAMIE LYNN HOGAN (NPI# 1376845164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376845164 |
| Entity Type | Individual |
| Full Name | MRS. JAMIE LYNN HOGAN |
| Credential | PA |
| Practice Address |
2085 Henry Tecklenburg Dr Charleston SC 29414-7710 |
| Practice Telephone | 8435776523 |
| Mailing Telephone | 8435776523 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1595 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386037133 | Jamie Hogan | Advanced Practice Midwife | 13035 Nacogdoches Rd, San Antonio, TX 78217-1960 | 2015-03-17 |
| 1548533615 | Jamie L Hogan | Counselor | 509 W Penn Ave Unit 10, Robesonia, PA 19551-1425 | 2012-02-20 |
| 1972780856 | Jamie M Hogan | Physician Assistant | 503 Medical Center Blvd #100, Conroe, TX 77304-2928 | 2008-01-23 |
| 1750320826 | Jamie N Hogan | Optometrist | 10320 S Cicero Ave, Oak Lawn, IL 60453-4702 | 2006-06-05 |
| Street Address |
2085 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093773657 | George Frederick Geils Jr. | Internal Medicine | 2085 Henry Tecklenburg Dr, Second Floor, Charleston, SC 29414-7710 | 2006-05-03 |
| 1447795158 | Charleston Oncology, Pa | Pharmacy | 2085 Henry Tecklenburg Dr, Second Floor, Charleston, SC 29414-7710 | 2017-01-04 |
| 1497204432 | Gwen Marie Shattuck | Nurse Practitioner | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2016-10-03 |
| 1124431606 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2085 Henry Tecklenburg Dr, Suite 310, Charleston, SC 29414 | 2014-06-03 |
| 1255756532 | Roper Saint Francis Physicians Network | Internal Medicine | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414 | 2014-02-24 |
| 1174958227 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-09-09 |
| 1316370646 | Roper Saint Francis Physicians Network | Neurological Surgery | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-08-09 |
| 1851724181 | Roper Saint Francis Physicians Network | Neurological Surgery | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-08-09 |
| 1699112425 | Kelly Marie Pabst | Clinical Nurse Specialist | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-06-03 |
| 1659618627 | Roper Saint Francis Physicians Network | Internal Medicine | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414 | 2013-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1083228514 | Andrea Denise Boan | Physician Assistant | 12 Commercial Row Apt A, Charleston, SC 29412-3641 | 2020-09-02 |
| 1194343673 | Andrew N Brewer | Physician Assistant | 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 | 2020-07-10 |
| 1396361309 | Jacquelyn Joseph | Physician Assistant | 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 | 2020-06-25 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
| 1598300279 | Breanne Marie Wiekamp | Physician Assistant | 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 | 2019-11-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.