| Dr William Estes Hogan Jr, MD | |
|
715 S Taft Ave, Fremont, OH 43420-3296 | |
| (419) 334-6639 | |
| (419) 333-2793 |
| Full Name | Dr William Estes Hogan Jr |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 22 Years |
| Location | 715 S Taft Ave, Fremont, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174506463 | NPI | - | NPPES |
| 2890199 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 35-092119 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bluffton Hospital | Bluffton, OH | Hospital |
| Memorial Hospital | Fremont, OH | Hospital |
| Institute For Orthopaedic Surgery | Lima, OH | Hospital |
| Lima Memorial Health System | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialty Physicians Of Blanchard Valley Llc | 2668547613 | 111 |
| Memorial Hospital | 9739078528 | 5 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851338149 PECOS PAC ID: 9739078528 Enrollment ID: O20040311000279 |
| Entity Name | Specialty Physicians Of Blanchard Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689835415 PECOS PAC ID: 2668547613 Enrollment ID: O20080826000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Estes Hogan Jr, MD 715 S Taft Ave, Fremont, OH 43420-3237 Ph: (419) 334-6661 | Dr William Estes Hogan Jr, MD 715 S Taft Ave, Fremont, OH 43420-3296 Ph: (419) 334-6639 |
Dr. Sanjay Sangal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6624 Fax: 419-334-6602 | |
Dr. Michael L. Clark, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6624 Fax: 419-334-6602 | |
Dr. James Stierwalt, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-332-7321 |