Active NPI
John Donald Ogram, M.D.
- Psychiatry Physician
- Exmore, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101033854
- Practice address
- 4376 Lankford Hwy Ste 3
Exmore, VA 23350 - Phone
- (757) 442-2504
- Fax
- (757) 442-9099
- NPI assigned
- Sep 16, 2005
- Last updated
- Aug 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101033854 | VA | Primary |
Addresses
Primary practice location
4376 Lankford Hwy Ste 3
Exmore, VA 23350
Mailing address
PO Box 993
Nassawadox, VA 23413-0993
Phone (757) 442-5445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19056 Greenbush Rd
Parksley, VA 23421-2510
Phone (757) 665-1260
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101033854 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Shore Community MH Mr Sas Services Board | Current | Accepting new patients | |
| Hampton Newport News Community Services Board | Current | Accepting new patients | |
| Eastern Shore Community Services Board | Current | Accepting new patients | |
| John D Ogram MD | Past | Accepting new patients | |
| John L Bulette MD PC | Psychiatry | Past | Accepting new patients |
| Horizon Behavioral Health | Past | Accepting new patients |
Locations
200 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0200
300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092
600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600
19056 Greenbush Rd
Parksley, VA 23421
Phone (757) 665-1260
Organizations & group practices 6
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.
-
dba Eastern Shore Behavioral Healthcare Center
- Professional Counselor
- Parksley, VA
- NPI 1154411510
-
- Community/Behavioral Health Agency
- Hampton, VA
- NPI 1659424448
-
- Speech-Language Pathologist
- Belle Haven, VA
- NPI 1821283722
-
- Community/Behavioral Health Agency
- Lynchburg, VA
- NPI 1871542340
-
- Psychologist
- Nassawadox, VA
- NPI 1831373471
-
- Psychiatry Physician
- Nasssawadox, VA
- NPI 1851580401
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Shore Memorial Hospital
- Rural Acute Care Hospital
- Onancock, VA
- NPI 1619076916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1831184696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 993",
"city": "NASSAWADOX",
"state": "VA",
"postal_code": "234130993",
"telephone_number": "757-442-5445",
"fax_number": "757-442-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4376 LANKFORD HWY STE 3",
"city": "EXMORE",
"state": "VA",
"postal_code": "23350",
"telephone_number": "757-442-2504",
"fax_number": "757-442-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGRAM",
"first_name": "JOHN",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101033854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Exmore, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.