Gary a. Ogin, MD, PA

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

G9176 Issued in TX

Legal business name

GARY A. OGIN, MD, PA

Practice address

700 E Southlake Blvd
Ste. 130
Southlake, TX 76092-6353

Phone

(817) 421-9111

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Tina Davidovich

Title

Administrator

Phone

(214) 232-1300

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greg W Davidovich, DC

  • Chiropractor
  • Southlake, TX
  • NPI 1649218777
  NPD (past)
• Marla B. Hampton, PT

  • Physical Therapist
  • Southlake, TX
  • NPI 1669410429
  NPD (past)
• Gary Arthur Ogin, M.D.

  • Interventional Pain Medicine Physician
  • Lewisville, TX
  • NPI 1902020811
  NPD (past)

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1265714836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W FORK",
            "address_2": "APT. 1215",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750396229",
            "telephone_number": "817-421-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E SOUTHLAKE BLVD",
            "address_2": "STE. 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926353",
            "telephone_number": "817-421-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A. OGIN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "DAVIDOVICH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-232-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "G9176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maeve Garcia, FNP
• Michael D Garcia, MD
• Miranda Garcia
• David G Garrigues, M.D.
• Tia Morgan Garth, BA
• Lyndsay Marie Garza, PA-C
• Garen Gasparro, LCSW
• GCR Integrated Health PLLC
• Laura O Geiger, BCBA
• Tara Geise, D.C.

• Pain Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.