DR. MICHAEL BRIAN HOGAN (NPI# 1982691531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982691531 |
Entity Type | Individual |
Full Name | DR. MICHAEL BRIAN HOGAN |
Credential | MD |
Practice Address |
147 Reynoir St Ste 205 Biloxi MS 39530-4121 |
Mailing Address |
2550 Flowood Dr Ste 402 Flowood MS 39232-9307 |
Practice Telephone | 2284361225 |
Practice Fax Number | 2284361691 |
Mailing Telephone | 2283881805 |
Mailing Fax Number | 6019361395 |
Enumeration Date | 2005-09-29 |
Last Update Date | 2018-10-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 01056020A | IN | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
21897 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 08885816 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
307 Boatner Rd, Eglin Afb, FL 325421391 | 8508838505 | 8508838311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194100891 | Michael Hogan | Registered Nurse | 24950 Arlington Ave, Denham Springs, LA 70726-6602 | 2015-07-22 |
1104183235 | Michael Emerson Hogan | Radiology | Medical Center North 1161 21st Ave S, Nashville, TN 37232-3998 | 2012-04-13 |
1033446307 | Michael Robert-ian Hogan | Chiropractor | 1510 Asheville Rd, Waynesville, NC 28786-3441 | 2009-11-07 |
1104010255 | Michael Bruce Hogan | Dentist | 108 Cecil St Ste G, Camdenton, MO 65020-7066 | 2007-08-31 |
1972622330 | Michael Hogan | Chiropractor | 2519 Colby Ave, Everett, WA 98201-2915 | 2007-03-28 |
1124111760 | Michael John Hogan | Orthotist | 1731 S Orange Ave, Orlando, FL 32806-2935 | 2006-10-02 |
1639262660 | Michael Graham Hogan | Specialist | 107 Colony Park Dr Ste 100, Cumming, GA 30040-2763 | 2006-10-02 |
1194776070 | Michael Patrick Hogan | Physical Therapist | 612 Tenney Mountain Hwy, Unit 3 Tenney Mtn Plaza, Plymouth, NH 03264-3155 | 2006-05-15 |
1568077303 | Michael Hogan | Physical Therapist | 50 Mount Prospect Ave Ste 207, Clifton, NJ 07013-1900 | 2020-09-09 |
1881235604 | Michael Richard Hogan | Marriage & Family Therapist | 2024 W 3rd St, Duluth, MN 55806-2053 | 2019-10-02 |
Street Address |
147 REYNOIR ST STE 205 |
City | BILOXI |
State | MS |
Zip Code | 39530-4121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568697332 | Total Heatlh Internal Medicine Consultants Pllc | Internal Medicine | 147 Reynoir St Ste 205, Biloxi, MS 39530-4109 | 2009-05-22 |
1598867350 | Timothy Benjamin Skelton | Internal Medicine | 147 Reynoir St Ste 205, Biloxi, MS 39530-4109 | 2006-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
1366707713 | Makeva K Reed | Nurse Practitioner | 321 Division St, Biloxi, MS 39530 | 2012-07-11 |
1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
1881891265 | Tina Fleming Mcgrew | Nurse Practitioner | 321-b Divison Street, Biloxi, MS 39530 | 2007-06-29 |
1285857623 | South Mississippi Nephrology, Pllc | Internal Medicine | 784 Vieux Marche, Biloxi, MS 39530 | 2007-04-11 |
1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
1922069715 | Garvin Wallace Cunningham | Dentist | 683 Division St, Biloxi, MS 39530 | 2006-03-31 |
Find all providers in zip 39530 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104323534 | Best Vein Care of Mississippi, LLC | Surgery | 204 W Jackson St Ste A, Ridgeland, MS 39157-2310 | 2018-04-11 |
1457714172 | Flowood Medical Management LLC | Surgery | 4800 Lakeland Dr, Flowood, MS 39232-8694 | 2016-03-30 |
1982009031 | Magnolia General and Vascular Surgery Clinic | Surgery | 611 Alcorn Dr Ste 210, Corinth, MS 38834-9323 | 2014-10-31 |
1952557092 | Medical Foundation of Central Mississippi, Inc | Surgery | 501 Marshall St Ste 100, Jackson, MS 39202-1687 | 2008-08-08 |
1730243064 | Frank A Nichols | Surgery | 1040 A So Madison, Tupelo, MS 38801 | 2006-12-21 |
1427073386 | Edward E Rigdon | Surgery | 348 Crossgates Blvd, Suite 2500, Brandon, MS 39042-2700 | 2006-07-13 |
1174556377 | Seshadri Raju, M.d., Pa. | Surgery | 971 Lakeland Dr Ste 401, Jackson, MS 39216 | 2006-07-09 |
1790760692 | Surgery Associates Pa | Surgery | 440 Pegram Dr, Tupelo, MS 38801-6319 | 2005-12-13 |
1396226791 | North Mississippi Medical Center, Inc | Surgery | 616 Alcorn Dr, Corinth, MS 38834-9393 | 2018-08-23 |
1962952689 | Capel Vascular Center, LLC | Surgery | 408 E Washington St, Greenwood, MS 38930-4539 | 2016-10-05 |
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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.