Paul Ogburn Jr.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

220748 Issued in NY

Practice address

1020 Youngs Rd Ste 110
Buffalo, NY 14221-2698

Phone

(716) 852-4772

NPI assigned

Aug 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stony Brook Radiology, University Faculty Practice Corporation

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1366497448
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1992706923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-474-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD STE 110",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142212698",
            "telephone_number": "716-852-4772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Ellicott St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031021",
            "country_code": "US",
            "telephone_number": "716-323-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBURN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "220748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02145568",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Grace Odrobina
• Adekunle Odunsi, MD PHD
• Susan Elizabeth Oehmler, PNP
• Tammy Ann Oehmler, B.A.
• Office of Mental Health
• Isabella Sophia Ogiony, RN
• Pearay L Ogra, MD
• Sanjay R Ogra, MD
• Young R Oh
• Crystal Ohnmeiss, LMT

• Maternal & Fetal Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Maternal & Fetal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.