Active NPI
David J Ogle, M.D.
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1679519334
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 20, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD20318
- Practice address
- 10748 NE Halsey St
Portland, OR 97220-3961 - Phone
- (503) 261-0966
- Fax
- (503) 252-2691
- NPI assigned
- Jun 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD20318 | OR | Primary |
Addresses
Primary practice location
10748 NE Halsey St
Portland, OR 97220-3961
Mailing address
10748 NE Halsey St
Portland, OR 97220-3961
Phone (503) 261-0966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20318 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Environmental Medicine, LLP | Family Medicine | Past | Accepting new patients |
| David J. Ogle, MD | Family Medicine | Past | Accepting new patients |
| Center for Natural Medicine, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22798/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 and National Provider Directory roles.
-
- Family Medicine Physician
- Portland, OR
- NPI 1164455606
-
- Family Medicine Physician
- Portland, OR
- NPI 1760428981
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1043317928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679519334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10748 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203961",
"telephone_number": "503-261-0966",
"fax_number": "503-252-2691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10748 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203961",
"telephone_number": "503-261-0966",
"fax_number": "503-252-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGLE",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD20318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.