Active NPI
Andrew J Ogden, DO
- Obstetrics & Gynecology Physician
- Ogdensburg, NY
National Provider Identifier
1033136502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 189521
- Practice address
- 3 Lyon Place
Ste 300
Ogdensburg, NY 13669-2546 - Phone
- (315) 393-6186
- Fax
- (315) 393-2639
- NPI assigned
- Jul 17, 2006
- Last updated
- Nov 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 189521 | NY | Primary |
Addresses
Primary practice location
3 Lyon Place
Ste 300
Ogdensburg, NY 13669-2546
Mailing address
3 Lyon Place
Ste 300
Ogdensburg, NY 13669-2546
Phone (315) 393-6186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01342658 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claxton-Hepburn Medical Center | Past | Accepting new patients |
Interoperability endpoints
- aogden@hiemail.healtheconnections.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Alexandria Bay, NY
- NPI 1003814641
-
- Psychiatric Hospital Unit
- Ogdensburg, NY
- NPI 1346301389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1033136502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LYON PLACE",
"address_2": "STE 300",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136692546",
"telephone_number": "315-393-6186",
"fax_number": "315-393-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LYON PLACE",
"address_2": "STE 300",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136692546",
"telephone_number": "315-393-6186",
"fax_number": "315-393-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGDEN",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "189521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01342658",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.