Angela D Hogan, MD | |
601 Childrens Ln, Norfolk, VA 23507-1910 | |
(757) 668-8255 | |
(757) 668-9444 |
Full Name | Angela D Hogan |
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Gender | Female |
Speciality | Allergy & Immunology |
Location | 601 Childrens Ln, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407809023 | NPI | - | NPPES |
89063JA | Medicaid | NC | |
006704760 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 0101051640 (Virginia) | Primary |
208000000X | Pediatrics | 0101051640 (Virginia) | Secondary |
Entity Name | Childrens Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
---|---|
Angela D Hogan, MD Po Box 79137, Baltimore, MD 21279-0137 Ph: (757) 668-7200 | Angela D Hogan, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-8255 |
Mr. Burton Alan Moss, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 302a E Little Creek Rd, Norfolk, VA 23505 Phone: 757-583-4382 Fax: 757-480-3675 | |
Amy Joy Eady, NP-C Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 830 Kempsville Rd Rm 2b223, Norfolk, VA 23502 Phone: 757-261-8860 | |
Themis Vincent Pangalos, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 880 Kempsville Road # 2700, Norfolk, VA 23502 Phone: 757-466-1765 Fax: 757-466-0237 | |
Kelly M Maples, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 300 Riverview Ave, Suite 301, Norfolk, VA 23510 Phone: 757-668-8255 Fax: 757-668-9444 | |
Lauren Lee Smith, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8255 |