MEDICARE: DR. CHRISTOPHER G HOGNESS MD

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	207Q00000X	Family Medicine Physician	MD00033035	WA
2	207R00000X	Internal Medicine Physician	MD00033035	WA
3	208M00000X	Hospitalist Physician	MD00033035	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080167687	OTHER	WA	RAILROAD MEDICARE

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
3	222145	OTHER	WA	STATE OF WA DEPT OF L&I

General Provider Information

NPI Number	:	1922046572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER G HOGNESS MD

Provider Business Mailing Address
First Line	:	PO BOX 945
Second Line	:
City	:	WINTHROP
State	:	WA
Zip	:	98862-0945
Country	:	US
Telephone Number	:	509-996-8180
Fax Number	:	509-996-3374

Provider Business Practice Location Address
First Line	:	1116 HWY 20
Second Line	:
City	:	WINTHROP
State	:	WA
Zip	:	98862
Country	:	US
Telephone Number	:	509-996-8180
Fax Number	:	509-996-3374

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	11/12/2020

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