MR. LES WAYNE HOGAN (NPI# 1457415473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457415473 |
| Entity Type | Individual |
| Full Name | MR. LES WAYNE HOGAN |
| Credential | OT/L |
| Practice Address |
707 Boll Weevil Circle Enterprise AL 36330 |
| Mailing Address |
217 Toro Rd Hartford AL 36344-1459 |
| Practice Telephone | 3343939355 |
| Mailing Telephone | 3345883842 |
| Mailing Fax Number | 3345880514 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 1892 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 515-29563 | 01 |
| Street Address |
707 BOLL WEEVIL CIRCLE |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659720365 | Montana Pagano | Contractor | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074237 | Brittany Calhoun | Contractor | 723 12th Ct, Phenix City, AL 36867-6639 | 2020-05-14 |
| 1598386690 | Christina Mary Egan | Contractor | 15 Fast Ln, Seale, AL 36875-4841 | 2020-04-29 |
| 1366085524 | Kimberly Arlisa Morrissette | Contractor | 6288 Letson Farms Dr, Bessemer, AL 35022-7023 | 2019-10-21 |
| 1649812645 | Tameka Campbell | Contractor | 114 Blue Spruce Dr, Phenix City, AL 36869-7998 | 2019-10-10 |
| 1265073951 | Judy Medley | Contractor | 88 Front Porch Way, New Brockton, AL 36351-4501 | 2019-10-03 |
| 1689215386 | Rico Bobbins | Contractor | 109 New Fort Browder Rd, Eufaula, AL 36027-1027 | 2019-10-03 |
| 1093371940 | Meleesa Geathers | Contractor | 8 Clayton Ct, Phenix City, AL 36869-3462 | 2019-05-16 |
| 1831659176 | Kalima E Rembert | Contractor | 200 Lee Road 2126, Salem, AL 36874-2161 | 2019-03-22 |
| 1649739053 | Kenya Denise Whitehorn | Contractor | 281 Lee Road 2212, Smiths Station, AL 36877-3396 | 2019-03-15 |
| 1962960740 | Latasha A Green | Contractor | 25 Kalin St, Phenix City, AL 36869-3469 | 2019-03-11 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on MR. LES WAYNE HOGAN.
| 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.