DR. REDMOND PRINDIVILLE HOGAN III (NPI# 1760798326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760798326 |
| Entity Type | Individual |
| Full Name | DR. REDMOND PRINDIVILLE HOGAN III |
| Credential | M.D. |
| Practice Address |
2808 W 44th St Indianapolis IN 46228-3147 |
| Practice Telephone | 3172911765 |
| Mailing Telephone | 3172911765 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01026451B | IN | Allopathic & Osteopathic Physicians |
| Street Address |
2808 W 44TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46228-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275797300 | Glendia Diane Butts | Occupational Therapist | 3644 West 48th Street, Indianapolis, IN 46228 | 2008-07-17 |
| 1073573465 | Michael W. Lane | Specialist | 5035 W. 71st St., Ste E, Indianapolis, IN 46228 | 2006-03-28 |
| 1730186628 | Marimelia Skovronsky | Ophthalmology | 1017 W 52nd St, Indianapolis, IN 46228 | 2005-07-07 |
| 1235200742 | Gental Hands Home Health | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2006-11-13 |
| 1710170220 | Vetra Davis | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2007-08-20 |
| 1811453814 | Terry Anthony Webster Jr. | Day Training/Habilitation Specialist | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
| 1679039671 | T3 Impact Inc. | Counselor | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
| 1962974097 | Donovan Pettiford | Private Vehicle | 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 | 2018-12-31 |
| 1134217201 | Springfield Health Care Center, Inc | Skilled Nursing Facility | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2006-10-11 |
| 1134767692 | Shannon Alford | Counselor | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2019-12-16 |
| Find all providers in zip 46228 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1558547588 | Sarah Ali | Internal Medicine | 8111 S Emerson Ave Ste 102, Indianapolis, IN 46237-8601 | 2008-01-22 |
| 1821274101 | Oncology Hematology Care Center Inc | Internal Medicine | 1440 E County Line Rd, Indianapolis, IN 46227-0963 | 2008-01-16 |
| 1659582120 | American Health Network of Indiana, LLC | Internal Medicine | 1828 N Illinois St, Indianapolis, IN 46202-1318 | 2007-05-25 |
| 1669687331 | Indiana Oncology Hematology Consultants | Internal Medicine | 6925 Shore Ter, Indianapolis, IN 46254-4675 | 2007-05-14 |
| 1306065446 | Taylor M Ortiz | Internal Medicine | 8111 S. Emerson Ave Suite 101, Indianapolis, IN 46237-8325 | 2007-04-25 |
| 1164567871 | Christopher Alan Slapak | Internal Medicine | The Wishard Hospital Hematology Clinic, 1050 Wishard Blvd, Indianapolis, IN 46202 | 2007-02-20 |
| 1588724199 | Bert H O'neil | Internal Medicine | 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2042 | 2006-12-12 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46228 |
Please comment or provide details below to improve the information on DR. REDMOND PRINDIVILLE HOGAN III.
| 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.