Healthcare Provider Details

I. General information

NPI: 1942439435
Provider Name (Legal Business Name): PETER HOGG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14065 BORGWARNER DR
NOBLESVILLE IN
46060-9448
US

IV. Provider business mailing address

10863 CEDAR RIDGE LN
INDIANAPOLIS IN
46278-9526
US

V. Phone/Fax

Practice location:
  • Phone: 317-620-0232
  • Fax:
Mailing address:
  • Phone: 248-229-8439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4301094553
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number01073631B
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number01073631A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: