MRS. JUDITH ANN OGREN (NPI# 1114316163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114316163 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH ANN OGREN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
25810 Kelly Rd Ste 3 Roseville MI 48066-4467 |
| Practice Telephone | 5867779724 |
| Mailing Telephone | 5867779724 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704146117 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704146117 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25810 KELLY RD STE 3 |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851371363 | David Peter Bryk | Dentist | 25810 Kelly Rd, Ste 2, Roseville, MI 48066-4467 | 2006-01-19 |
| 1275859290 | Luis Gabriel Camero, M.d.,p.c. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25810 Kelly Rd, Suite 1, Roseville, MI 48066-4467 | 2010-04-15 |
| 1578534061 | Robert L Marchese Md Diseases of The Lung Pllc | Internal Medicine | 25810 Kelly Rd, Suite 3, Roseville, MI 48066 | 2006-02-01 |
| 1043290232 | Robert Lewis Marchese | Internal Medicine | 25810 Kelly Rd, Suite 3, Roseville, MI 48066-4467 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1235167503 | Lori L Kelly | Nurse Practitioner | 2845 Hamline Ave North, Roseville, MN 55113 | 2006-06-28 |
| 1568929115 | Brandi Reilly | Nurse Practitioner | 2845 Hamline Ave N, Roseville, MN 55113-7127 | 2019-03-01 |
| 1790289064 | Annika Peterson | Nurse Practitioner | 2845 Hamline Ave N, Roseville, MN 55113-7127 | 2018-03-21 |
| 1407357122 | Jamie Inhoff | Nurse Practitioner | 2845 Hamline Ave N, Roseville, MN 55113-7127 | 2018-02-27 |
| 1962832089 | Agnes Gitau | Nurse Practitioner | 3001 Douglas Blvd, Suite 150, Roseville, CA 95661-3851 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
| 1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
| 1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
| 1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
| 1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.