Individual provider Active NPI

Karen Sue Ogle, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Grand Rapids, MI
National Provider Identifier
1083721989
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
4301043177 Issued in MI
Practice address
200 Jefferson Ave
Grand Rapids, MI 49503
Phone
(616) 685-5000
Fax
(616) 685-5260
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 4301043177 MI
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 4301043177 MI Primary

Addresses

Primary practice location

200 Jefferson Ave
Grand Rapids, MI 49503

Mailing address

245 State St SE
Ste 221
Grand Rapids, MI 49503
Phone (616) 685-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Hospice and Palliative Medicine CurrentSince Apr 15, 2015 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 1, 2018 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 1, 2018 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 15, 2015 Accepting new patients
Michigan Masonic Home PastSince Jan 1, 1990 Accepting new patients
Michigan Masonic Home Geriatric Medicine PastSince Jan 1, 1990 Accepting new patients
Hope Hospice and Community Services, Inc Past Accepting new patients
Saint Mary'S Health Services Past Accepting new patients
Lifepath Hospice and Palliative Care Inc Geriatric Medicine Past Accepting new patients
Michigan Masonic Home PastSince Jan 1, 1990 Accepting new patients
Professional Financial Services Past Accepting new patients
Advantage Health Saint Mary'S Medical Group Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1215 E Michigan Ave
#C
Lansing, MI 48912
Phone (517) 364-2050

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

Interoperability endpoints

  • Direct secure messaging: kogle206604@epic00.corewelldirect.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1083721989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STATE ST SE",
            "address_2": "STE 221",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-685-1808",
            "fax_number": "616-685-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON AVE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-685-5000",
            "fax_number": "616-685-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLE",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301043177",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301043177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.