Organization Active NPI

Ogeda Family Care, PLLC

  • Primary Care Clinic/Center
  • Midland, TX
National Provider Identifier
1740701184
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M3675 Issued in TX
Legal business name
OGEDA FAMILY CARE, PLLC
Practice address
4506 Briarwood Ave Ste a
Midland, TX 79707-2642
Phone
(432) 689-6818
Fax
(432) 689-6901
NPI assigned
Jul 6, 2017
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Marivel Catano
Title
Clinic Office Manager
Phone
(432) 689-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M3675 TX Primary

Addresses

Primary practice location

4506 Briarwood Ave Ste a
Midland, TX 79707-2642

Mailing address

PO Box 8148
Midland, TX 79708-8148
Phone (432) 689-6818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181017000876 TX Part B Supplier - Clinic/Group Practice 9436401627 Receives reassigned benefits from 1 practitioner
Practice locations: Midland, TX

National Provider Directory

National Provider Directory

Locations

4506 Briarwood Ave
Midland, TX 79707
Phone (432) 689-6818

4506 Briarwood Ave
Ste A
Midland, TX 79707
Phone (432) 689-6818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1740701184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8148",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797088148",
            "telephone_number": "432-689-6818",
            "fax_number": "432-689-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 BRIARWOOD AVE STE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072642",
            "telephone_number": "432-689-6818",
            "fax_number": "432-689-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGEDA FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "CATANO",
        "authorized_official_first_name": "MARIVEL",
        "authorized_official_title_or_position": "CLINIC OFFICE MANAGER",
        "authorized_official_telephone_number": "432-689-6818"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M3675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.