Active NPI
John Oge, PA-C
- Physician Assistant
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA060036
- Practice address
- 2861 W 26TH St
Erie, PA 16506-3064 - Phone
- (814) 835-6695
- Fax
- (814) 835-6699
- NPI assigned
- Jul 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA060036 | PA | |
| Physician Assistant | 363A00000X | MA060036 | PA | Primary |
Addresses
Primary practice location
2861 W 26TH St
Erie, PA 16506-3064
Mailing address
2861 W 26TH St
Erie, PA 16506-3064
Phone (814) 835-6695
Other practice location 1
7200 Peach St Unit 16
Erie, PA 16509-4756
Phone (814) 860-3301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12308 Ocean Gateway
Suite 3
Ocean City, MD 21842-9341
12547 Ocean Gateway
Ocean City, MD 21842-9689
12547 Ocean Gtwy
Ocean City, MD 21842-9689
Phone (410) 213-0119
15 S Dupont Hwy
Dover, DE 19901-7430
Phone (302) 857-0876
4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA060036 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Quality Partners | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Ocean City, MD
- NPI 1548330343
-
- Family Medicine Physician
- Erie, PA
- NPI 1518283753
-
- Primary Care Clinic/Center
- Ocean City, MD
- NPI 1033550496
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1659857043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 W 26TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165063064",
"telephone_number": "814-835-6695",
"fax_number": "814-835-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 W 26TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165063064",
"telephone_number": "814-835-6695",
"fax_number": "814-835-6699"
}
],
"practiceLocations": [
{
"address_1": "7200 Peach St Unit 16",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165094756",
"country_code": "US",
"telephone_number": "814-860-3301",
"fax_number": "814-860-3302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGE",
"first_name": "JOHN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-18",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA060036",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA060036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.