Individual provider Active NPI

John Donald Ogram, M.D.

  • Psychiatry Physician
  • Exmore, VA
National Provider Identifier
1831184696
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101033854 Issued in VA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000930 VA Practitioner - Psychiatry 5890768600 Reassigns benefits to 2 organizations
Practice locations: Exmore, VA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Community MH Mr Sas Services BoardGroup PAC ID 8729185095, 17 clinicians

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

LicenseStateTypeSpecialty
0101033854VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Community MH Mr Sas Services Board CurrentSince Aug 1, 2022 Accepting new patients
Hampton Newport News Community Services Board CurrentSince Aug 10, 2019 Accepting new patients
Eastern Shore Community Services Board CurrentSince Aug 1, 2022 Accepting new patients
John D Ogram MD PastSince Jan 1, 1990 Accepting new patients
John L Bulette MD PC Psychiatry PastSince Jul 1, 1994 Accepting new patients
Horizon Behavioral Health PastSince Jan 4, 2012 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.