Individual provider Active NPI

Maudeline Ogoo

  • Chiropractor
  • Anderson, IN
National Provider Identifier
1619473261
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003027A Issued in IN
Practice address
523 W 38TH St
Anderson, IN 46013-4021
Phone
(765) 642-7246
Fax
(765) 642-6986
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003027A IN Primary

Addresses

Primary practice location

523 W 38TH St
Anderson, IN 46013-4021

Mailing address

523 W 38TH St
Anderson, IN 46013-4021
Phone (765) 642-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529001266 IN Practitioner - Chiropractic 1355606161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1220 Church St
New Castle, IN 47362-4636
Phone (678) 982-4839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1619473261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 W 38TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460134021",
            "telephone_number": "765-642-7246",
            "fax_number": "765-642-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 W 38TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460134021",
            "telephone_number": "765-642-7246",
            "fax_number": "765-642-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGOO",
        "first_name": "MAUDELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003027A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.

Verify at the official NPI Registry.