James Edward Oglesby, MD
Individual provider Active NPI Family Medicine Physician · Ashdown, AR
NPI 1366432247 · NPPES record last updated May 10, 2017
Key facts
- NPI
- 1366432247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E3804 (AR)
- Practice address
- 450 W Locke St Ste C
Ashdown, AR 71822-3326 - Phone
- (903) 276-8020
- Fax
- (870) 898-4130
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Whites Family Clinic LLC
Practice addresses (Care Compare)
418 N 2ND St
Ashdown, AR 71822-2755
Phone (870) 898-0002
Hospital & facility affiliations
- Little River Memorial Hospital Home Health
- Little River Memorial Hospital
- Christus St Michael Health System
- Howard Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050309000903 | AR | Practitioner - Family Practice |
7719931021 | Reassigns benefits to 1 organization |
| I20080721000461 | LA | Practitioner - Emergency Medicine | 7719931021 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3804 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crowley Emergency Group LLC | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Whites Family Clinic LLC | Family Medicine | Current |
Accepting new patients |
| Cenla Chiropractic & Wellness | Past | Accepting new patients |
Locations
418 N 2nd St
Ashdown, AR 71822
Phone (870) 898-0002
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
Interoperability endpoints
- james.oglesby.1@20279.direct.athenahealth.com
- https://api.platform.athenahealth.com/20279/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/13869/brand/40/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3804 | AR | Yes |
Addresses
Primary practice location
450 W Locke St Ste C
Ashdown, AR 71822-3326
Mailing address
6806 Oakleaf LN
Texarkana, AR 71854-8127
Phone (903) 276-8020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149691001 | Medicaid | AR | |
| 5M514 | Other | AR | BCBS |
Other providers in Ashdown, AR
- Kristian Nicole Magby
- Mandy Davis Counseling PLLC
- Vicki Matthews
- Brittny Nicole Mills
- Branden Howard O'Neal
- Meleony Ann Oglesby
- Vontre Dewayne Oguinn
- Samantha Palmore
- Jana Parker
- Patients' Choice Medical Supplies
All providers in Ashdown, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.