NPIMap

Organization Active NPI

Og Medical Services, LLC

  • Acute Care Nurse Practitioner
  • Fairfield, OH
National Provider Identifier
1841741816
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
35127094 Issued in OH
Legal business name
OG MEDICAL SERVICES, LLC
Practice address
3830 Woodridge Blvd Ste C
Fairfield, OH 45014-7564
Phone
(567) 274-2624
NPI assigned
Oct 14, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Omar Garcia, MD
Title
Owner
Phone
(567) 274-2624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 35127094 OH Primary

Addresses

Primary practice location

3830 Woodridge Blvd Ste C
Fairfield, OH 45014-7564

Mailing address

3830 Woodridge Blvd Ste C
Fairfield, OH 45014-7564
Phone (567) 274-2624

National Provider Directory

National Provider Directory
Tax ID family
Og Medical Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3830 Woodridge Blvd
Ste C
Fairfield, OH 45014
Phone (567) 274-2624

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1841741816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 WOODRIDGE BLVD STE C",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147564",
            "telephone_number": "567-274-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WOODRIDGE BLVD STE C",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147564",
            "telephone_number": "567-274-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OG MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-274-2624",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "35127094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.