Kevin P Hogan (NPI# 1497730139, PAC ID# 2365405016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1497730139 |
| PAC ID by PECOS | 2365405016 |
| Professional Enrollment ID | I20041104000620 |
| Full Name | Kevin P Hogan |
| Organization Legal Name | FREDERICK DERMATOLOGY ASSOCIATES LLC |
| Address |
45 Thomas Johnson Dr Suite 209 Frederick MD 21702-4490 |
| Phone Number | 3016626755 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3678633203 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4490 | 3016626755 | FREDERICK DERMATOLOGY ASSOCIATES LLC |
| Organization Legal Name | FREDERICK DERMATOLOGY ASSOCIATES LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Marie Moe | Dermatology | Frederick Dermatology Associates LLC | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4490 |
| Swetcha Lankapalli | Physician Assistant | Frederick Dermatology Associates LLC | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4490 |
| Dawn C Sharer | Nurse Practitioner | Frederick Dermatology Associates LLC | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4490 |
| Christianna J Mayberry | Nurse Practitioner | Frederick Dermatology Associates LLC | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4490 |
| Street Address |
45 THOMAS JOHNSON DR SUITE 209 |
| City | FREDERICK |
| State | MD |
| Zip | 21702-4490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Marie Moe | Dermatology | Frederick Dermatology Associates LLC | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4490 |
| Kimberly L Zeren | Nurse Practitioner | Johns Hopkins Community Physicians | 45 Thomas Johnson Dr, Fl 1, Frederick, MD 21702-4425 |
| Naaz A. Hussain | Family Medicine | Johns Hopkins Community Physicians | 45 Thomas Johnson Dr, Fl 1, Frederick, MD 21702-4425 |
| Swetcha Lankapalli | Physician Assistant | Frederick Dermatology Associates LLC | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4490 |
| Sarah Warehime Lantzy | Internal Medicine | Johns Hopkins Community Physicians | 45 Thomas Johnson Dr, Fl 1, Frederick, MD 21702-4425 |
| Steven Joseph Brand | General Surgery | Foris Surgical Group LLP | 45 Thomas Johnson Dr, Suite 211, Frederick, MD 21702-4490 |
| Mary Romanic | Rheumatology | 45 Thomas Johnson Dr, Suite 212, Frederick, MD 21702-4490 | |
| Mark Ellis Artusio | General Surgery | Foris Surgical Group LLP | 45 Thomas Johnson Dr, Suite 211, Frederick, MD 21702-4490 |
| Dawn C Sharer | Nurse Practitioner | Frederick Dermatology Associates LLC | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4490 |
| Wing Tam | Family Medicine | Johns Hopkins Community Physicians | 45 Thomas Johnson Dr, Fl 1, Frederick, MD 21702-4425 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kumudhini Hendrix | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Thomas S Davis | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Debra L Clise | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Lise Ricotta Asaro | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Susan M Allig | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Alan S Bronstein | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Jennifer Lyn Chen | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Dawn Renee Gill | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Allen Gilson | Pulmonary Disease | 6695 Stone Ridge Ct, Frederick, MD 21702-2989 | |
| Gary E Schreiber | Chiropractic | 1446 W Patrick St, Suite 14, Frederick, MD 21702-3277 | |
| Find all physicians in zip 21702 | |||
| City | FREDERICK |
| Zip Code | 21702 |
| Specialty | DERMATOLOGY |
| City + Specialty | FREDERICK + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.