DR. JACOB HOGUE (NPI# 1720206022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720206022 |
| Entity Type | Individual |
| Full Name | DR. JACOB HOGUE |
| Credential | M.D. |
| Practice Address |
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-1100 |
| Mailing Address |
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-0001 |
| Practice Telephone | 2539680262 |
| Practice Fax Number | 2539685294 |
| Mailing Telephone | 2539681484 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
01063158A | IN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 01063158A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9040 Reid St, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 984311100 | 2539681484 |
| Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740254 | Dennis Huang | Podiatrist | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2005-06-16 |
| 1891395851 | Juliana Dumayas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0002 | 2020-10-29 |
| 1922658491 | Fatima Hossay Safi | Social Worker | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-17 |
| 1134778095 | Vinzuella Boddie | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-04 |
| 1588219059 | Susan Marie Lopez | Dietitian, Registered | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-08-01 |
| 1174177109 | Bradley Scott Miller | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-07-29 |
| 1437703568 | Alex Alberto Hernandez Vargas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-26 |
| 1427619733 | Dana Michelle Sanchez-terry | Nurse Practitioner | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2019-06-26 |
| 1255998076 | Scott Michael Brown | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5650 | 2019-05-28 |
| 1861059081 | Nathaniel Alan Castonguay | Licensed Practical Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412813 | Amy Lawson Yuen | Medical Genetics | 311 S L St, Tacoma, WA 98405-3720 | 2005-10-25 |
| 1275945081 | Jessica Ogawa | Medical Genetics | 311 S L St, Tacoma, WA 98405-3720 | 2014-05-28 |
| 1821422106 | Reproductive Genetics and Fertility | Medical Genetics | 2201 S 19th St, Tacoma, WA 98405-2962 | 2013-08-22 |
| 1306825906 | Michael Wayne Mcclellan | Medical Genetics | Madigan Army Medical Ctr, Mchj-clg, Tacoma, WA 98431-0001 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316196124 | Ghayda Mirzaa | Medical Genetics | 1900 9th Ave, Mailstop C9s-10, Seattle, WA 98101-1309 | 2008-09-17 |
| 1629267067 | Sarah L. Dugan | Medical Genetics | 105 W 8th Ave Ste 454e, Spokane, WA 99204-2318 | 2007-10-22 |
| 1164632170 | Mitzi L Murray | Medical Genetics | 3905 Rockridge Pkwy, Anacortes, WA 98221-4515 | 2007-05-22 |
| 1174600183 | Kristine Michelle King | Medical Genetics | 4033 Talbot Rd S Ste 470, Renton, WA 98055-5700 | 2006-11-01 |
| 1871689273 | Nancy Louise Fisher | Medical Genetics | 676 Woodland Sq Loop Se, Ms 42701, Olympia, WA 98504-2701 | 2006-10-04 |
| 1184636227 | Melissa Ann Parisi | Medical Genetics | 4800 Sand Point Way Ne # M2-9, Children's Hospital and Regional Medical Center, Seattle, WA 98105-3901 | 2006-08-13 |
| 1922064088 | Holly Hutchison Ardinger | Medical Genetics | 12404 Kallgren Rd Ne, Bainbridge Island, WA 98110-3328 | 2006-04-25 |
| 1053806711 | Yakima Valley Memorial Hospital | Medical Genetics | 3801 Kern Road, Yakima, WA 98902 | 2018-06-26 |
| 1033539671 | Irene Joan Chang | Medical Genetics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-22 |
| 1447678206 | Marianne Emmanuelle Dubard-gault | Medical Genetics | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2014-03-30 |
| Find all providers with the same taxonomy | ||||
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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.