Organization Active NPI

John C Ogle DO PC

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1770584773
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN C OGLE DO PC
Practice address
401 E Oklahoma Ave
Ste a
Enid, OK 73701-5800
Phone
(580) 233-4353
Fax
(580) 233-2106
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Susan D Riley
Title
Managed Care Coord
Phone
(580) 548-1367

Specialties & licenses 1

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

Addresses

Primary practice location

401 E Oklahoma Ave
Ste a
Enid, OK 73701-5800

Mailing address

PO Box 960242
Oklahoma City, OK 73196
Phone (580) 548-1367

National Provider Directory

National Provider Directory

Locations

401 E Oklahoma Ave
Ste A
Enid, OK 73701
Phone (580) 233-4353

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770584773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960242",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73196",
            "telephone_number": "580-548-1367",
            "fax_number": "580-548-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E OKLAHOMA AVE",
            "address_2": "STE A",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015800",
            "telephone_number": "580-233-4353",
            "fax_number": "580-233-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C OGLE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGED CARE COORD",
        "authorized_official_telephone_number": "580-548-1367"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.