Active NPI
Ellen Ogden, PA-C
- Physician Assistant
- Lewisville, TX
National Provider Identifier
1720527617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10568
- Practice address
- 701 S Stemmons Fwy
Lewisville, TX 75067-4547 - Phone
- (972) 316-6495
- NPI assigned
- Feb 13, 2017
- Last updated
- Jan 23, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical PA | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.