Individual provider Active NPI

Ellen Ogden, PA-C

  • Physician Assistant
  • Lewisville, TX
National Provider Identifier
1720527617
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10568 Issued in TX
Practice address
701 S Stemmons Fwy
Lewisville, TX 75067-4547
Phone
(972) 316-6495
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10568 TX Primary

Addresses

Primary practice location

701 S Stemmons Fwy
Lewisville, TX 75067-4547

Mailing address

701 S Stemmons Fwy
Lewisville, TX 75067-4547

Other practice location 1

10600 N Loop Dr
Socorro, TX 79927-4626
Phone (915) 491-8331

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10568TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1720527617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S STEMMONS FWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S STEMMONS FWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674547",
            "telephone_number": "972-316-6495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10600 N Loop Dr",
            "address_purpose": "LOCATION",
            "city": "Socorro",
            "state": "TX",
            "postal_code": "799274626",
            "country_code": "US",
            "telephone_number": "915-491-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "ELLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.