NPIMap

Individual provider Active NPI

Pamela Ogor, D.O.

  • Family Medicine Physician
  • Shorewood, WI
National Provider Identifier
1568578052
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28684 Issued in WI
Practice address
3970 N Oakland Ave
2ND Floor
Shorewood, WI 53211-2265
Phone
(414) 527-5690
Fax
(414) 527-5695
NPI assigned
Aug 21, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28684 WI Primary

Addresses

Primary practice location

3970 N Oakland Ave
2ND Floor
Shorewood, WI 53211-2265

Mailing address

3970 N Oakland Ave
2ND Floor
Shorewood, WI 53211-2265
Phone (414) 527-5690

Other identifiers 1

IdentifierTypeStateIssuer
30042700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000808 WI Practitioner - Family Practice 6608819354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3501 E Ramsey Ave
Cudahy, WI 53110-3009
Phone (414) 769-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical Affiliates, Inc. CurrentSince Jan 16, 2019 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Jul 1, 2005 Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3501 E Ramsey Ave
Cudahy, WI 53110
Phone (414) 647-7170

3821 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-8460

3970 N Oakland Ave
Fl 2
Shorewood, WI 53211
Phone (414) 527-5690

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1568578052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE",
            "address_2": "2ND FLOOR",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-527-5690",
            "fax_number": "414-527-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE",
            "address_2": "2ND FLOOR",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-527-5690",
            "fax_number": "414-527-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGOR",
        "first_name": "PAMELA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "28684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30042700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

Verify at the official NPI Registry.