MICHAEL LEO HOGAN (NPI# 1033134432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033134432 |
| Entity Type | Individual |
| Full Name | MICHAEL LEO HOGAN |
| Credential | M.D. |
| Practice Address |
3900 St Francis Way Ste 200 Lafayette IN 47905-4940 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 7657752800 |
| Practice Fax Number | 7657752831 |
| Mailing Telephone | (317) 528-4800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01065848A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000586631 | 01 |
| IN | 200917540 | 05 | |
| IL | 03607032 1 | 05 | |
| GA | RR MEDICARE GROUP ID#/PIN | CB0709/060019665 | 01 |
| IL | B/C B/S OF ILLINOIS | 101 15504 | 01 |
| 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 |
| 1982691531 | Michael Brian Hogan | Surgery | 147 Reynoir St Ste 205, Biloxi, MS 39530-4121 | 2005-09-29 |
| 1568077303 | Michael Hogan | Physical Therapist | 50 Mount Prospect Ave Ste 207, Clifton, NJ 07013-1900 | 2020-09-09 |
| Street Address |
3900 ST FRANCIS WAY STE 200 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669443461 | Arthur D Rosen | Psychiatry & Neurology | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-01-30 |
| 1073125407 | Michaela Anderson | Nurse Practitioner | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2020-08-18 |
| 1548887623 | Rachael Rosebrock | Physician Assistant | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2020-07-06 |
| 1700094307 | William Aaron Kay | Internal Medicine | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2007-05-18 |
| 1689771016 | Raja S Mahidhara | Surgery | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-09-20 |
| 1184643512 | John J Schier | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-07-18 |
| 1043253081 | Kathleen A Carlson | Internal Medicine | 3900 St Francis Way Ste 200, Lafayette, IN 47905 | 2006-06-14 |
| 1639122047 | Petronio Ilagan | Psychiatry & Neurology | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-05-18 |
| 1912971383 | Sherman Anthony Williams | Internal Medicine | 3900 St Francis Way Ste 200, Lafayette, IN 47905 | 2006-02-14 |
| 1326011628 | Dilawer H Abbas | Psychiatry & Neurology | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437498771 | Harold Paul Chastant | Internal Medicine | 119 Nickerson Pkwy, Lafayette, LA 70501-6509 | 2013-02-06 |
| 1508131814 | David M Tadin | Internal Medicine | 443 Heymann Blvd Ste B, Lafayette, LA 70503 | 2012-03-20 |
| 1215239413 | Lester L Ducote Jr Md, A Professional Medical Corporation | Internal Medicine | 441a Heymann Blvd, Lafayette, LA 70503 | 2010-11-22 |
| 1497765515 | Acadiana Cardiology | Internal Medicine | 401 St Julien Ave, Lafayette, LA 70506-4621 | 2006-08-09 |
| 1245248632 | Barry Joel Karas | Internal Medicine | 3900 St Francis Way, Suite 200, Lafayette, IN 47905-4923 | 2006-08-03 |
| 1770506636 | Mary Kay Thomas | Internal Medicine | Umc Child & Adol. Op Center, 2390 West Congress Street, Lafayette, LA 70506 | 2006-07-25 |
| 1477575983 | Kathleen Lacour Rosson | Internal Medicine | Lsu Family Practice Clinic, 2390 West Congress Street, Lafayette, LA 70506 | 2006-07-24 |
| 1922029941 | Philip Jules Fabacher | Internal Medicine | Lsu Central Clinic, 2390 West Congress Street, Lafayette, LA 70506 | 2006-07-23 |
| 1225059249 | Jay Pannathpur Jaikishen | Internal Medicine | 155 Hospital Dr Ste 406, Lafayette, LA 70503-2852 | 2006-07-23 |
| 1477572550 | Adel S. Yaacoub | Internal Medicine | 3900 St. Francis Way, Suite 200, Lafayette, IN 47905-4923 | 2006-07-19 |
| Find all providers in LAFAYETTE | ||||
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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.