Active NPI
Michael Monroe Ogden, M.D.
- Pediatric Adolescent Medicine Physician
- High Point, NC
National Provider Identifier
1245221613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 2012-02327
- Practice address
- 4515 Premier Dr
Suite 203
High Point, NC 27265-8357 - Phone
- (336) 802-2200
- Fax
- (336) 802-2201
- NPI assigned
- Nov 3, 2005
- Last updated
- Jan 31, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 046893 | GA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 2012-02327 | NC | Primary |
Addresses
Primary practice location
4515 Premier Dr
Suite 203
High Point, NC 27265-8357
Mailing address
1701 Westchester Dr
Suite 850
High Point, NC 27262-7008
Phone (336) 802-2536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000817176D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046893 | GA | MD | Pediatric Adolescent Medicine Physician |
| 2012-02327 | NC | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Past | Accepting new patients | |
| Wake Forest Health Network LLC | Past | Accepting new patients |
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.
-
dba Atrium Health Wake Forest Baptist Pediatrics - Premier
- Pediatrics Physician
- High Point, NC
- NPI 1346516895
-
dba Atrium Health Levine Children's Pediatrics Northwest
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1245221613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DR",
"address_2": "SUITE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627008",
"telephone_number": "336-802-2536",
"fax_number": "336-802-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 PREMIER DR",
"address_2": "SUITE 203",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658357",
"telephone_number": "336-802-2200",
"fax_number": "336-802-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGDEN",
"first_name": "MICHAEL",
"middle_name": "MONROE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "GA",
"license": "046893",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NC",
"license": "2012-02327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000817176D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
- Oak Hollow Chiropractic (Oak Hollow Spinal Center)
- Oakwood Community Development Corporation
- Oasis Medical Transportation LLC
- Ifeyemi Odeyemi, MD
- Julia A Oerman, RN
- Olufunso Mercy Ogunjobi, PMHNP-BC
- Moradeke Omolola Ojo, DNP, PMHNP-BC
- Victoria Okafor
- Justina Anulika Okonkwo, DNP, PMHNP-BC, FNP-C
- Deborah Faye Oldham, M.S., LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.