| Dr Mary Beth Hogan, MD | |
|
1600 Medical Center Dr Ste 3500, Huntington, WV 25701-3655 | |
| (304) 691-1300 | |
| Not Available |
| Full Name | Dr Mary Beth Hogan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Allergy/immunology |
| Location | 1600 Medical Center Dr Ste 3500, Huntington, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174603104 | NPI | - | NPPES |
| 0109785000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 12265 (Nevada) | Secondary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 18282 (West Virginia) | Primary |
| Entity Name | University Physicians & Surgeons, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730183286 PECOS PAC ID: 2961315734 Enrollment ID: O20031107000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Beth Hogan, MD 1524 Pinto Ln Fl 3, Las Vegas, NV 89106-4195 Ph: (702) 992-6868 | Dr Mary Beth Hogan, MD 1600 Medical Center Dr Ste 3500, Huntington, WV 25701-3655 Ph: (304) 691-1300 |
Dr. Tanya G Bigby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5187 Us Route 60 E, Ste 11, Huntington, WV 25705 Phone: 304-399-5437 Fax: 304-399-1104 | |
Kate M. Waldeck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 | |
Sherrie N Miranda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 | |
Jessie Shields, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr, Sutie 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 | |
Jackie R Stines Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Drive, Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 | |
Dr. Rose Mary Ayoob, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 | |
Jennifer K Gerlach, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr, Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 |