MAXWELL HOGUE (NPI# 1235789231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235789231 |
| Entity Type | Individual |
| Full Name | MAXWELL HOGUE |
| Practice Address |
375 Wampanoag Trl Riverside RI 02915-2232 |
| Mailing Address |
126 Monument St Medford MA 02155-3516 |
| Practice Telephone | 4016494020 |
| Practice Fax Number | 4016494021 |
| Mailing Telephone | 6036676765 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2313022 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Elm St, Providence, RI 029034626 | 6036676765 | |
| 126 Monument St, Medford, MA 021553516 | 6036676765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699465 | Maxwell K Hogue | Dentist | 5916 Eastman Ave, Midland, MI 48640-6840 | 2020-08-15 |
| Street Address |
375 WAMPANOAG TRL |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955071 | Marina F Rodriguez | Internal Medicine | 375 Wampanoag Trl, Suite 201, Riverside, RI 02915-2212 | 2005-07-08 |
| 1114574860 | Lindsey Harris | Physical Therapist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-08-19 |
| 1447713680 | Kate M Guthrie | Psychologist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-04-12 |
| 1386159069 | Aletheia Yuri Miyake Shen | Nurse Practitioner | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2017-12-04 |
| 1699223404 | Silver Fern Practice, LLC | Physical Therapist | 375 Wampanoag Trl, Suite 403, Riverside, RI 02915-2232 | 2016-09-21 |
| 1528433489 | Cerissa Blaney | Psychologist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2015-12-03 |
| 1205231081 | Mary Whittenhall | Nurse Practitioner | 375 Wampanoag Trl, Suite 302b, Riverside, RI 02915-2232 | 2014-10-23 |
| 1649602863 | Amanda J. Fernandes | Internal Medicine | 375 Wampanoag Trl, Riverside, RI 02915 | 2013-07-30 |
| 1861749327 | Laura A. Massa | Nurse Practitioner | 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915-2232 | 2012-08-14 |
| 1376821793 | Iva Neupane | Internal Medicine | 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2232 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425145 | Alpha Shanika Gonzalez | Nurse Practitioner | 5750 Division St Ste 204, Riverside, CA 92506-3260 | 2020-04-08 |
| 1184264517 | Michael Josiah | Nurse Practitioner | 16254 Bridgton Cir, Riverside, CA 92503-5978 | 2020-01-14 |
| 1346885738 | Rose Jionna Newton | Nurse Practitioner | 750 Via Pueblo Apt 201, Riverside, CA 92507-6376 | 2019-11-09 |
| 1952957375 | April Blum | Nurse Practitioner | 14200 Meridian Parkway, # 101, Riverside, CA 92518 | 2019-08-12 |
| 1487209326 | Glecy Kristine Tan Lua | Nurse Practitioner | 7992 Wood Rd, Riverside, CA 92508-6605 | 2019-08-07 |
| 1386119725 | Eugene Santos | Nurse Practitioner | 3600 Lime St Ste 516, Riverside, CA 92501-0944 | 2018-10-12 |
| 1407356918 | Reyna Acela Reynaga-vargas | Nurse Practitioner | 5430 Arlington Ave # Na, Riverside, CA 92504-2505 | 2018-02-20 |
| 1174021646 | Mary Anne Brown | Nurse Practitioner | 10895 Magnolia Ave, Riverside, CA 92505-3057 | 2018-01-30 |
| 1295249167 | Emily Fernandez | Nurse Practitioner | 9444 Alta Cresta Ave, Riverside, CA 92508-8032 | 2017-11-29 |
| 1124538152 | Clara Nnadi | Nurse Practitioner | 18445 Pinecone Ln, Riverside, CA 92504-9420 | 2017-10-04 |
| Find all providers in RIVERSIDE | ||||
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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.