MEDICARE: DR. WILLIAM R HOGAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	1707	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	1287600001	OTHER	OH	MEDICARE DURABLE ID NUMBE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000012371	OTHER	OH	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	27-00262	OTHER	OH	EVERCARE,UNITEDHELATHCARE
4	311164051 00	OTHER	OH	WORKERS COMPENSATION
6	27000546	OTHER	OH	UNITED HEALTHCARE
7	648840	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1023004991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM R HOGAN DPM

Provider Business Mailing Address
First Line	:	5315 DELHI AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-5214
Country	:	US
Telephone Number	:	513-922-2335
Fax Number	:	513-922-4454

Provider Business Practice Location Address
First Line	:	5315 DELHI AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-5214
Country	:	US
Telephone Number	:	513-922-2335
Fax Number	:	513-922-4454

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	07/17/2007

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Directions to “ DR. WILLIAM R HOGAN DPM” Practice Location

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