Organization Active NPI

Ogle Family Practice

  • Family Medicine Physician
  • Mount Vernon, OH
National Provider Identifier
1215063631
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OGLE FAMILY PRACTICE
Practice address
206 S Mulberry St
Suite B
Mount Vernon, OH 43050-3331
Phone
(740) 397-3553
Fax
(740) 392-4158
NPI assigned
Feb 27, 2007
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Norma Jean Parker
Title
Office Manager
Phone
(740) 397-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

206 S Mulberry St
Suite B
Mount Vernon, OH 43050-3331

Mailing address

206 S Mulberry St
Suite B
Mount Vernon, OH 43050-3331
Phone (740) 397-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000042 OH Part B Supplier - Clinic/Group Practice 1153342381 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Vernon, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0327482Ogle Family Practice206 South Mulberry Street, Mount Vernon, OH 43050Certificate of waiverFeb 15, 2028

National Provider Directory

National Provider Directory

Locations

206 S Mulberry St
Ste B
Mount Vernon, OH 43050
Phone (740) 397-3553

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1215063631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MULBERRY ST",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503331",
            "telephone_number": "740-397-3553",
            "fax_number": "740-392-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MULBERRY ST",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503331",
            "telephone_number": "740-397-3553",
            "fax_number": "740-392-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-397-3553"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.