DR. MARY BETH HOGAN M.D.
NPI 1174603104
Pediatrics - Pediatric Allergy/Immunology in Huntington, WV

Q: What is Mary Beth Hogan's NPI number?

The NPI number for Mary Beth Hogan is 1174603104. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Mary Beth Hogan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Q: When was this NPI record last updated?

The NPPES record for Mary Beth Hogan was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2006PECOS Enrolled

1600 MEDICAL CENTER DR STE 3500, HUNTINGTON, WV 25701(304) 691-1300 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2021, Jun 12, 2019, Jun 7, 2019 and 1 more (4 updates tracked since 2018).

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About Dr. Mary Beth Hogan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY BETH HOGAN M.D. (NPI 1174603104) is an individual pediatric allergy/immunology provider in Huntington, West Virginia, licensed in West Virginia (18282) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1174603104

Entity TypeIndividualFemale

Primary Taxonomy2080P0201X

Provider Legal NameDR. MARY BETH HOGANCredential: M.D.

Location Address1600 MEDICAL CENTER DR STE 3500Huntington, WV 25701-3655

Mailing Address1524 Pinto Ln Fl 3Las Vegas, NV 89106-4195 · (702) 992-6868 · Fax (702) 992-6860

Phone(304) 691-1300

Sole ProprietorYes

Enumeration DateOctober 16, 2006

Last NPPES UpdateDecember 9, 20214 updates tracked since enumeration

NPPES CertifiedDecember 9, 2021

✔ NPI 1174603104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

Licenses✔ Licensed in WV · 18282✔ Licensed in NV · 12265

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

1600 MEDICAL CENTER DR STE 3500, Huntington, WV 25701

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Secondary Practice Location 1

Location 11524 Pinto Ln Fl 3Las Vegas, NV 89106-4195 · Phone (702) 992-6868 · Fax (702) 992-6860

Other Identifiers 1

Medicaid0109785000WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Beth Hogan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JAIME LEIGH BASHAM DO, MS, CCC-SLP

Pediatrics