Active NPI
Oge Family Medical Clinic PLLC
- Family Medicine Physician
- Nashville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OGE FAMILY MEDICAL CLINIC PLLC
- Practice address
- 119 Medical Cir
Suite 3
Nashville, AR 71852-8606 - Phone
- (870) 451-9199
- NPI assigned
- Jun 11, 2012
- Last updated
- Apr 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Oge, M.D.
- Title
- Owner
- Phone
- (870) 451-9199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
119 Medical Cir
Suite 3
Nashville, AR 71852-8606
Mailing address
PO Box 905
Nashville, AR 71852-0905
Phone (870) 451-9199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1026223 | Oge Family Medical Clinic, PLLC | Certificate of waiver | May 27, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Nashville, AR
- NPI 1972508984
-
- Family Nurse Practitioner
- Nashville, AR
- NPI 1659760635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398297600000",
"number": "1578825147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"city": "NASHVILLE",
"state": "AR",
"postal_code": "718520905",
"telephone_number": "870-451-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 MEDICAL CIR",
"address_2": "SUITE 3",
"city": "NASHVILLE",
"state": "AR",
"postal_code": "718528606",
"telephone_number": "870-451-9199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OGE FAMILY MEDICAL CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-11",
"last_updated": "2014-04-24",
"status": "A",
"authorized_official_last_name": "OGE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-451-9199",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.