Physician Compare National (NPI:1760488969)

HEALTHCARE PROVIDER: JOHN EDWARD HOGG MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1760488969
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173574621
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080417000363
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOGG
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	615 BIENVILLE ST
	Group Practice or individual's line 1 address
City	NATCHITOCHES
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	714575730
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NATCHITOCHES REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y