Mikayla Theresa Bogan
Student in an Organized Health Care Education/Training Program in Cleveland, OH. Individual provider (NPI-1).
NPI number1295589786
StatusActive
Last updated in NPPESApr 12, 2024
Details
- NPI
- 1295589786
- Entity type
- Individual (NPI-1)
- Name
- Mikayla Theresa Bogan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2024
- Certification date
- Apr 12, 2024
- Last updated
- Apr 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
9500 Euclid Ave # Jj24Cleveland, OH 44195-0001
Phone 216-444-2200
Mailing address
9500 Euclid Ave # Jj24Cleveland, OH 44195-0001
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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