DR. MATTHEW JAMES HOGAN (NPI# 1962418160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962418160 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JAMES HOGAN |
| Credential | MD |
| Practice Address |
1011 S William St Atlanta TX 75551 |
| Mailing Address |
Po Box 1326 Marshall TX 75671-1326 |
| Practice Telephone | 9037962868 |
| Practice Fax Number | 9037960826 |
| Mailing Telephone | 9039273782 |
| Mailing Fax Number | 9039271764 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H5777 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHIPS | 117812 | 01 | |
| TX | 128968804 | 05 | |
| TX | BCBS | 806059 | 01 |
| RR MEDICARE | 080107840 | 01 | |
| AR | BCBS | 97277 | 01 |
| CHAMPUS | A009 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646619 | Matthew George Lind Hogan | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-30 |
| 1366078214 | Matthew Evan Hogan | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-03-22 |
| 1548801152 | Matthew John Hogan | Physical Therapist | 7223 Commerce St Ste 40, Springfield, VA 22150-3411 | 2019-10-04 |
| 1720643398 | Matthew Hogan | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2019-05-08 |
| 1396249777 | Matthew Grant Hogan | Student in an Organized Health Care Education/Training Program | 1542 Tulane Ave, New Orleans, LA 70112-2865 | 2018-03-21 |
| 1831572429 | Matthew Hogan | Social Worker | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2015-07-01 |
| 1124315239 | Matthew Stephen Hogan | Pharmacist | 4310 W Wendover Ave, Greensboro, NC 27407-1911 | 2011-07-09 |
| 1568515518 | Matthew Ryan Hogan | Internal Medicine | 2701 N Decatur Rd, Dmpg Cbo, Decatur, GA 30033-5918 | 2007-01-20 |
| 1447210208 | Matthew M Hogan | Urology | 919 Graham Dr, Tomball, TX 77375-6408 | 2006-03-24 |
| Street Address |
1011 S WILLIAM ST |
| City | ATLANTA |
| State | TX |
| Zip Code | 75551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668453 | Stephen K Erlewine | Nurse Practitioner | 1011 S William St, Atlanta, TX 75551 | 2005-06-09 |
| 1194332155 | East Texas Border Health Clinic | Social Worker | 1011 S William St, Atlanta, TX 75551-3245 | 2020-09-24 |
| 1740807759 | Kelli Michelle Thompson | Nurse Practitioner | 1011 S William St, Atlanta, TX 75551-3245 | 2020-06-26 |
| 1700402708 | Rae Shannon Hammonds | Nurse Practitioner | 1011 S William St, Atlanta, TX 75551-3245 | 2020-06-25 |
| 1316459852 | Melanie A Stone | Nurse Practitioner | 1011 S William St, Atlanta, TX 75551 | 2017-10-24 |
| 1396256061 | Jared Chase Anderson | Social Worker | 1011 S William St, Atlanta, TX 75551-3245 | 2017-10-20 |
| 1376077164 | Christian Ferrer | Family Medicine | 1011 S William St, Atlanta, TX 75551-3245 | 2017-04-18 |
| 1114388113 | Tiffany Lynne Griffin | Nurse Practitioner | 1011 S William St, Atlanta, TX 75551 | 2016-03-18 |
| 1366828303 | East Texas Border Health Clinic | Clinic/Center | 1011 S William St, Atlanta, TX 75551-3245 | 2015-07-31 |
| 1841629581 | Jennifer Sellers | Counselor | 1011 S William St, Atlanta, TX 75551-3245 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
| 1689154759 | Bobbye Francene Rankin | Physical Therapy Assistant | 109 Cr 3544, Atlanta, TX 75551 | 2018-08-18 |
| 1447668538 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1104 S. William Street, Atlanta, TX 75551 | 2014-08-01 |
| 1912176983 | Glenna B Frost | Speech-Language Pathologist | 1001 West Main Street, Atlanta, TX 75551 | 2008-02-25 |
| 1043438823 | Shelia Kaye Langbartels | Optometrist | 201 Hwy. 59 South, Atlanta, TX 75551 | 2007-04-24 |
| 1598838583 | Tim C Hogan | Dentist | 402 S William St, Hogan Dental Clinic, Atlanta, TX 75551 | 2006-11-16 |
| 1003991290 | Jimmy Glenn Stillwell | Nurse Anesthetist, Certified Registered | 1007 S Williams, Atlanta Memorial Hospital, Atlanta, TX 75551 | 2006-10-26 |
| 1336248376 | Miles Drug Company | Pharmacist | 122 N East St, Atlanta, TX 75551 | 2006-09-22 |
| 1417050667 | Danny Warren Addington | Dentist | 307 East Hiram, Atlanta, TX 75551 | 2006-09-06 |
| 1912917899 | Atlanta Nursing Homes Inc. | Skilled Nursing Facility | 200 Live Oak, Atlanta, TX 75551 | 2006-08-09 |
| Find all providers in zip 75551 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1487297164 | Deavmed L.l.c | Family Medicine | 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660 | 2019-10-24 |
| 1598319287 | Vibrant Family Medicine, P.C. | Family Medicine | 6667 Vernon Woods Dr Ste A19, Atlanta, GA 30328-3215 | 2019-07-30 |
| 1649739020 | Accumedic Diagnostic Management LLC | Family Medicine | 373 W Lake Ave Nw, Atlanta, GA 30318-8123 | 2019-03-15 |
| 1679037758 | Harrigan Medical Consulting Services, Inc | Family Medicine | 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 | 2019-01-23 |
| 1184197337 | Todd Ware Davis | Family Medicine | 942 Fern Ave Se, Atlanta, GA 30315-1813 | 2019-01-09 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1265902092 | Gregory Stephen Wallace | Family Medicine | 1042 Mason Woods Dr Ne, Atlanta, GA 30329-3802 | 2018-12-05 |
| 1124596069 | Longevity Medical Center, PC | Family Medicine | 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338-6308 | 2018-11-08 |
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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.