Individual
MR. MICHAEL THOMAS HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 J D ANDERSON DR, MORGANTOWN, WV 26505-4000
(304) 598-2291
(304) 598-2293
Mailing address
PO BOX 1645, MORGANTOWN, WV 26507-1645
(304) 598-2291
(304) 598-2293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
09950
WV
2085R0202X
Diagnostic Radiology Physician
101829
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000403
BLUE CROSS BLUE SHIELD
WV
05
—
0119977000
—
WV
01
—
1071180
WEST VIRGINIA WORKERS COM
WV
01
—
P00401419
RAILROAD MEDICARE
WV
Enumeration date
06/09/2006
Last updated
11/19/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us