Ovg Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

OVG INC

Practice address

2116 Wood Stork Ave
Saint Augustine, FL 32084-8251

Phone

(904) 540-4629

Fax

(904) 824-9341

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Veronica Gomez, WSC

Title

Owner/Director

Phone

(904) 540-4629

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1972805372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 WOOD STORK AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320848251",
            "telephone_number": "904-540-4629",
            "fax_number": "904-824-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 WOOD STORK AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320848251",
            "telephone_number": "904-540-4629",
            "fax_number": "904-824-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "904-540-4629",
        "authorized_official_credential": "WSC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690241398",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690241396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Heather Danielle Overlee, OTR/L
• Michael Douglas Owens Jr.
• Omari Owens, DPM
• Richard Todd Owens, ARNP
• Sadie Owens
• Meghan Bridget Owenz, PH.D., ABPP

• Case Management Agency in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.