Organization Active NPI

John D Ogram MD

  • Psychologist
  • Nassawadox, VA
National Provider Identifier
1831373471
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0101033854 Issued in VA
Legal business name
JOHN D OGRAM MD
Practice address
10150 Rogers Drive
Nassawadox, VA 23413
Phone
(757) 442-2504
Fax
(757) 442-9099
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Elizabeth B Teasley
Title
Billing Supervisor
Phone
(757) 414-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 0101033854 VA Primary

Addresses

Primary practice location

10150 Rogers Drive
Nassawadox, VA 23413

Mailing address

PO Box 993
Nassawadox, VA 23413-0993
Phone (757) 442-2504

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1831373471",
    "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": "757-442-2504",
            "fax_number": "757-442-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 ROGERS DRIVE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "23413",
            "telephone_number": "757-442-2504",
            "fax_number": "757-442-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D OGRAM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "TEASLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "757-414-8054"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0101033854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nassawadox, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.