DR. ROBERT B OGESEN II (NPI# 1164699328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164699328 |
| Entity Type | Individual |
| Full Name | DR. ROBERT B OGESEN II |
| Credential | M.D. |
| Practice Address |
15215 S 48th St Ste 152 Phoenix AZ 85044 |
| Practice Telephone | 4807048585 |
| Practice Fax Number | 4807048668 |
| Mailing Telephone | 4807048585 |
| Mailing Fax Number | 4807048668 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2016-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
20679 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 123208001 | 05 |
| Street Address |
15215 S 48TH ST STE 152 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561270 | Mark Joseph Page | Optometrist | 15215 S 48th St, Suite # 180, Phoenix, AZ 85044-9142 | 2005-07-07 |
| 1316313661 | Jeffery Arthur Kohler | Dentist | 15215 S 48th St, Suite 190, Phoenix, AZ 85044-9142 | 2015-08-20 |
| 1245659432 | English Dermatology PC | Dermatology | 15215 S 48th St, Suite 120, Phoenix, AZ 85044-9142 | 2014-04-15 |
| 1316375611 | Alcohol Recovery Solutions, Inc. | Community/Behavioral Health | 15215 S 48th St, Suite 150, Phoenix, AZ 85044-9142 | 2013-10-23 |
| 1538503032 | Megan Marie Shoen | Physician Assistant | 15215 S 48th St, Suite 120, Phoenix, AZ 85044-9142 | 2013-04-26 |
| 1356689772 | Arizona Progressive Medical Centers | Chiropractor | 15215 S 48th St, Bldg 5 Suite 156, Phoenix, AZ 85044-9142 | 2013-01-18 |
| 1629325378 | Active Kids Pediatrics, PC | Clinic/Center | 15215 S 48th St, Suite 110, Phoenix, AZ 85044-9142 | 2012-08-13 |
| 1558690313 | Sleepmed Phoenix, LLC | Clinic/Center | 15215 S 48th St, Suite 133, Phoenix, AZ 85044-9142 | 2009-12-08 |
| 1891930632 | Britt Erika Brennan | Marriage & Family Therapist | 15215 S 48th St, Suite 116, Phoenix, AZ 85044-9142 | 2008-12-08 |
| 1457516338 | Insight Health Corp | Radiology | 15215 S 48th St, Bldg 1, Ste 110, Phoenix, AZ 85044-9142 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821430562 | Rajeev Billing | Psychiatry & Neurology | 16620 N 40th St Ste I5, Phoenix, AZ 85032 | 2013-07-23 |
| 1174155089 | Hyangsook Lee Patel | Psychiatry & Neurology | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2020-02-08 |
| 1962829986 | Richard Ulrich | Psychiatry & Neurology | 16620 N 40th St Ste I5, Phoenix, AZ 85032 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1265653059 | Bennett Blum, Md Inc. | Psychiatry & Neurology | 5150 E Broadway Blvd, #1600, Tucson, AZ 85711-3762 | 2007-05-01 |
| 1639239015 | Jaime T Michel | Psychiatry & Neurology | 3250a E 40th St, Yuma, AZ 85365-7748 | 2006-12-08 |
| 1962584185 | Monica Gabriela Faria | Psychiatry & Neurology | 8541 E Anderson Dr Ste 105, Scottsdale, AZ 85255-5430 | 2006-10-19 |
| 1982794160 | James Donald Mcdaniel | Psychiatry & Neurology | 1601 E Apache Park Pl, Tucson, AZ 85714-1775 | 2006-10-16 |
| 1063436699 | Timothy Ian Mueller | Psychiatry & Neurology | C/o Savahcs, 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-07-27 |
| 1487635389 | Spectrum Healthcare Group, Inc. | Psychiatry & Neurology | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2005-11-08 |
| 1073166278 | Ascend Telemedicine, LLC | Psychiatry & Neurology | 312 N Alma School Rd Ste 11, Chandler, AZ 85224-4354 | 2019-07-17 |
| 1619482478 | Alevea Mental Health, LLC | Psychiatry & Neurology | 2034 E Southern Ave, Tempe, AZ 85282-7522 | 2017-12-02 |
| 1750614467 | Matthew Charles Lally | Psychiatry & Neurology | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2009-09-13 |
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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.