Justin A Hogan (NPI# 1902220213, PAC ID# 2961635289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1902220213 |
| PAC ID by PECOS | 2961635289 |
| Professional Enrollment ID | I20140512000792 |
| Full Name | Justin A Hogan |
| Organization Legal Name | MOUNTAIN LAUREL DERMATOLOGY PLLC |
| Address |
11 Falcon Crest Ln Clyde NC 28721-6620 |
| Phone Number | 8285650560 |
| Gender | M |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486873098 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340184 | HAYWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 600 Alliance Ct, Suite 200, Asheville, NC 28806-5001 | 8285650560 | MOUNTAIN LAUREL DERMATOLOGY PLLC |
| 11 Falcon Crest Ln, Clyde, NC 28721-6620 | 8285650560 | MOUNTAIN LAUREL DERMATOLOGY PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | MOUNTAIN LAUREL DERMATOLOGY PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Ruth Payne | Dermatology | Mountain Laurel Dermatology Pllc | 107 Haywood Park Dr, Clyde, NC 28721-4405 |
| Gina R Singleton | Dermatology | Mountain Laurel Dermatology Pllc | 11 Falcon Crest Ln, Clyde, NC 28721-6620 |
| Rufus Mcafee Thomas Jr. | Dermatology | Mountain Laurel Dermatology Pllc | 600 Alliance Ct, Suite 200, Asheville, NC 28806-5001 |
| Frances Ivette Ramos-herberth | Dermatology | Mountain Laurel Dermatology Pllc | 107 Haywood Park Dr, Clyde, NC 28721-4405 |
| Street Address |
11 FALCON CREST LN |
| City | CLYDE |
| State | NC |
| Zip | 28721-6620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina R Singleton | Dermatology | Mountain Laurel Dermatology Pllc | 11 Falcon Crest Ln, Clyde, NC 28721-6620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark M Steinke | Physician Assistant | Mission Community Anesthesiology Specialists LLC | 360 Hospital Dr, Clyde, NC 28721-0107 |
| Allyson Self Pickens | Nurse Practitioner | Mission Community Anesthesiology Specialists LLC | 360 Hospital Dr, Clyde, NC 28721-0107 |
| Eva O Massie | Nurse Practitioner | Mh Transylvania Regional Hospital, Lllp | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| Korey L Geerdes | Physician Assistant | Mh Transylvania Regional Hospital, Lllp | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| David Grant Mulholland | Family Practice | Transylvania Community Hospital Inc | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| Katharine Anne Rasche | Family Practice | Transylvania Community Hospital Inc | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| Anna Lopez Stratton | Family Practice | Transylvania Community Hospital Inc | 360 Hospital Dr, Suite 102, Clyde, NC 28721-0107 |
| Linda Yanik Dula | Family Practice | Transylvania Community Hospital Inc | 360 Hospital Dr, Clyde, NC 28721-0107 |
| Russell W Buford | Clinical Psychologist | Transylvania Community Hospital Inc | 360 Hospital Dr, Clyde, NC 28721-0107 |
| Christopher Todd Wenzel | Otolaryngology | Western Carolina Ear Nose and Throat Specialists Pllc | 63 Haywood Park Dr, Clyde, NC 28721-4404 |
| Find all physicians in zip 28721 | |||
| City | CLYDE |
| Zip Code | 28721 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CLYDE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Justin A Hogan.
| 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.