Organization Active NPI

Michael O'Gara

  • Family Medicine Physician
  • Gold Beach, OR
National Provider Identifier
1740346956
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
08605 Issued in OR
Legal business name
MICHAEL O'GARA
Practice address
94125 4TH St
Gold Beach, OR 97444-1215
Phone
(541) 247-6628
Fax
(541) 247-6629
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Michael Thomas O'Gara, DO
Title
Owner
Phone
(541) 247-6628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 08605 OR Primary

Addresses

Primary practice location

94125 4TH St
Gold Beach, OR 97444-1215

Mailing address

PO Box 1215
Gold Beach, OR 97444-1215
Phone (541) 247-6628

Other identifiers 1

IdentifierTypeStateIssuer
278506MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1740346956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974441215",
            "telephone_number": "541-247-6628",
            "fax_number": "541-247-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94125 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974441215",
            "telephone_number": "541-247-6628",
            "fax_number": "541-247-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O'GARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "O'GARA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-247-6628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "08605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278506",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Beach, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.