Individual provider Active NPI

John Oge, PA-C

  • Physician Assistant
  • Erie, PA
National Provider Identifier
1659857043
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060036 Issued in PA
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

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190524002413 PA Practitioner - Physician Assistant 7618210121 Reassigns benefits to 1 organization
I20230415000063 DE Practitioner - Physician Assistant 7618210121 Reassigns benefits to 1 organization
I20230509002276 MD Practitioner - Physician Assistant 7618210121 Reassigns benefits to 3 organizations

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
Acute Injury and Illness Centers LLCGroup PAC ID 3870687536, 9 clinicians
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

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

LicenseStateTypeSpecialty
MA060036PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Quality Partners PastSince Aug 1, 2021 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.