Individual provider Active NPI

Jennifer Michelle Ozan, D.O.

  • Obstetrics & Gynecology Physician
  • Greensboro, NC
National Provider Identifier
1154633394
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2017-01907 Issued in NC
Practice address
930 3Rd St
Greensboro, NC 27405-6967
Phone
(336) 890-3200
Fax
(336) 890-3290
NPI assigned
Jul 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125.058989 IL
Obstetrics & Gynecology Physician 207V00000X 2017-01907 NC Primary

Addresses

Primary practice location

930 3Rd St
Greensboro, NC 27405-6967

Mailing address

PO Box 14883
Greensboro, NC 27415-4883
Phone (336) 274-6515

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.ozan@eaglep.eclinicaldirectplus.com
Direct Messaging Address jozan192394@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141106001083 NC Practitioner - Obstetrics/Gynecology 1153543145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians

Practice addresses (Care Compare)

930 3Rd St
Greensboro, NC 27405-6967
Phone (336) 890-3200

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.058989ILMDObstetrics & Gynecology Physician
2017-01907NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA Obstetrics & Gynecology CurrentSince Sep 29, 2014 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Sep 29, 2014 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Obstetrics & Gynecology CurrentSince Jan 12, 2022 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients

Locations

1091 Kirkpatrick Rd
Burlington, NC 27215
Phone (336) 494-2063

1248 Huffman Mill Rd
Ste 101
Burlington, NC 27215
Phone (336) 538-0089

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

301 E Wendover Ave
Ste 300
Greensboro, NC 27401
Phone (336) 268-3380

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

520 N Elam Ave
Fl 1
Greensboro, NC 27403
Phone (336) 389-9898

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

3711 Elmsley St
Ste 101
Greensboro, NC 27406
Phone (336) 890-2165

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1154633394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14883",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154883",
            "telephone_number": "336-274-6515",
            "fax_number": "336-691-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 3RD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-890-3200",
            "fax_number": "336-890-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZAN",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-03",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125.058989",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2017-01907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.ozan@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "301 E Wendover Ave Ste 300",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jozan192394@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "930 3rd St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274056967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.