Organization Active NPI

Brian N. Ogan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Effingham, IL
National Provider Identifier
1093963340
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
BRIAN N. OGAN, MD
Practice address
901 Medical Park Dr
Suite 201
Effingham, IL 62401-2191
Phone
(312) 953-9793
Fax
(816) 461-6586
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brian N Ogan, MD
Title
President/Owner
Phone
(312) 953-9793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X IL Primary

Addresses

Primary practice location

901 Medical Park Dr
Suite 201
Effingham, IL 62401-2191

Mailing address

2466 Momentum PL
Chicago, IL 60689-0001
Phone (816) 461-8288

Other names 1

  • ILLINOIS SPINE AND PAIN CENTER Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093963340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606890001",
            "telephone_number": "816-461-8288",
            "fax_number": "816-461-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MEDICAL PARK DR",
            "address_2": "SUITE 201",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012191",
            "telephone_number": "312-953-9793",
            "fax_number": "816-461-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN N. OGAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "312-953-9793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ILLINOIS SPINE AND PAIN CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.