Ronald A Oglesby, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

78-PA008 Issued in NM

Practice address

1600 E 32ND St
Silver City, NM 88061-7287

Phone

(575) 538-2981

Fax

(575) 388-3373

NPI assigned

Mar 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1477685923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617287",
            "telephone_number": "575-538-2981",
            "fax_number": "575-388-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617287",
            "telephone_number": "575-538-2981",
            "fax_number": "575-388-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "RONALD",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "78-PA008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73350214",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Silver City, NM
• Providers in Silver City, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.