Individual
MARK J HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
35062100
OH
2085R0202X
Diagnostic Radiology Physician
35062100
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35062100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0759413
CGS - MEDICARE
OH
05
—
0966987
—
OH
Enumeration date
06/05/2006
Last updated
04/25/2025
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