MEDICARE: DR. PAUL S HOGG M.D.

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	208600000X	Surgery Physician	ME171359	FL
2	208600000X	Surgery Physician	0101231076	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	020050249	OTHER	VA	MEDICARE RAILROAD
6	D388	OTHER	VA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	42114	OTHER	VA	SENTARA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	287018	OTHER	VA	ANTHEM
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	WR833	OTHER	FL	HFMG

General Provider Information

NPI Number	:	1659379998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL S HOGG M.D.

Provider Business Mailing Address
First Line	:	2000 MEADE PKWY
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23434-4259
Country	:	US
Telephone Number	:	757-539-0251
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 MEADE PKWY
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23434-4259
Country	:	US
Telephone Number	:	757-539-0251
Fax Number	:

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	01/05/2026

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Directions to “ DR. PAUL S HOGG M.D.” Practice Location

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