Individual provider Active NPI

Eugene Stanley Ogrod, M.D.,

  • Internal Medicine Physician
  • Kingwood, TX
National Provider Identifier
1316098429
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G20999 Issued in CA
Practice address
526 Kingwood Dr # 419
Kingwood, TX 77339-4473
Phone
(916) 471-8303
NPI assigned
Jan 15, 2007
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G20999 CA Primary

Addresses

Primary practice location

526 Kingwood Dr # 419
Kingwood, TX 77339-4473

Mailing address

526 Kingwood Dr # 419
Kingwood, TX 77339-4473
Phone (916) 471-8303

Other identifiers 1

IdentifierTypeStateIssuer
G20999OtherCACA LICENSE

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

LicenseStateTypeSpecialty
G20999CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1316098429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 KINGWOOD DR # 419",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394473",
            "telephone_number": "916-471-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 KINGWOOD DR # 419",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394473",
            "telephone_number": "916-471-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGROD",
        "first_name": "EUGENE",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G20999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "G20999",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.