HOAGLAND, LUKE FRANK MORRIS IV (MD)

Provider Demographics

• NPI: 1689831836
• Name: HOAGLAND, LUKE FRANK MORRIS IV (MD)
• Entity Type: Individual
• Prefix: DR
• First Name: LUKE
• Middle Name: FRANK MORRIS
• Last Name: HOAGLAND
• Suffix: IV
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 10800 E GEDDES AVE STE 300
• Mailing Address - City: ENGLEWOOD
• Mailing Address - State: CO
• Mailing Address - Zip Code: 80112-3895
• Mailing Address - Country: US
• Mailing Address - Phone: 303-761-9190
• Mailing Address - Fax: 720-874-4462
• Practice Address - Street 1: 10800 E GEDDES AVE STE 300
• Practice Address - City: ENGLEWOOD
• Practice Address - State: CO
• Practice Address - Zip Code: 80112-3895
• Practice Address - Country: US
• Practice Address - Phone: 303-761-9190
• Practice Address - Fax: 720-874-4462
• Is Sole Proprietor?: No
• Enumeration Date: 2008-05-16
• Last Update Date: 2022-12-12

Provider Licenses

State	License ID	Taxonomies
NE	27758	2085R0202X
MA	253324	2085R0202X
MA	239534	2085R0202X
HI	MD17656	2085R0202X
KS	04-37061	2085R0202X
CO	53515	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
WY	1689831836	Medicaid
CO	1689831836	Medicaid
NE	84059792913	Medicaid
NE	840897126-00	Medicaid
NE	100257090-00	Medicaid
NE	100262776-00	Medicaid
NE	100262778-00	Medicaid
MT	1689831836	Medicaid
AZ	925891	Medicaid
NE	100262777-00	Medicaid
UT	1689831836	Medicaid
NE	100262773-00	Medicaid
NE	100262774-00	Medicaid
NM	30135079	Medicaid
NE	100262775-00	Medicaid
IA	1689831836	Medicaid
KS	201097440A	Medicaid
KS	KA3249071	Medicare PIN
NM	30135079	Medicaid
NE	100262773-00	Medicaid
CO	1689831836	Medicaid
CO	348195ZLJ3	Medicare PIN
NE	100262774-00	Medicaid
WY	1689831836	Medicaid
NE	840897126-00	Medicaid
NE	P01350917	Medicare PIN
NE	NA2517069	Medicare PIN
NE	84059792913	Medicaid