| James Cameron Hogan, PA | |
|
401 West Bowman, Kingfisher, OK 73750 | |
| (405) 375-7935 | |
| (405) 948-6507 |
| Full Name | James Cameron Hogan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 401 West Bowman, Kingfisher, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225276801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 1816 (Oklahoma) | Primary |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Emergency Services of Oklahoma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Entity Name | Mercy Hospital Watonga Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1497017529 PECOS PAC ID: 6305002759 Enrollment ID: O20140110000184 |
| Entity Name | Mercy Hospital Kingfisher, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1285064618 PECOS PAC ID: 5395970180 Enrollment ID: O20140416000368 |
| Entity Name | Emergency Physicians of Mid-america PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
| Mailing Address | Practice Location Address |
|---|---|
| James Cameron Hogan, PA Post Box 268947, Oklahoma City, OK 73126-8947 Ph: (405) 947-8586 | James Cameron Hogan, PA 401 West Bowman, Kingfisher, OK 73750 Ph: (405) 375-7935 |
Richard D Hanes, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150 Phone: 405-375-7847 |
Kadriye Ann Landis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Hospital Dr, Kingfisher, OK 73750 Phone: 405-375-3141 |
Bridget A. Keast, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1002 Hospital Drive, Kingfisher, OK 73750 Phone: 405-375-6355 Fax: 405-375-6374 |