DR. MAREK JAROSLAW OGLEDZKI (NPI# 1508124363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508124363 |
Entity Type | Individual |
Full Name | DR. MAREK JAROSLAW OGLEDZKI |
Credential | MD, DMD |
Practice Address |
11900 E 12 Mile Rd Ste 210 Warren MI 48093-3490 |
Practice Telephone | 5865827102 |
Mailing Telephone | 5865827100 |
Enumeration Date | 2012-04-30 |
Last Update Date | 2019-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
DN20042 | FL | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2901600263 | MI | Dental Providers |
Y | 204E00000X | Oral & Maxillofacial Surgery | 4301116139 | MI | Allopathic & Osteopathic Physicians |
N | 204E00000X | Oral & Maxillofacial Surgery | TRN23463 | FL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
11900 E 12 Mile Rd Ste 210, Warren, MI 480933490 | 5865827102 |
Street Address |
11900 E 12 MILE RD STE 210 |
City | WARREN |
State | MI |
Zip Code | 48093-3490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861002719 | Jonattan Eduardo Angulo | Oral & Maxillofacial Surgery | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2020-08-05 |
1003471517 | Jonathan Saher Zora | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2019-05-09 |
1881258945 | Sacha Dariana Clark | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2019-04-24 |
1356904734 | Roberto Velazquez | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2019-04-21 |
1609344175 | Alberto J Aviles Md, Pllc | Plastic Surgery | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2018-11-02 |
1386133296 | Matthew Jay Bures | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2018-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
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Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215950100 | William S Bloom | Oral & Maxillofacial Surgery | 11300 East Thirteen Mile Road, Warren, MI 48093 | 2006-07-25 |
1861002719 | Jonattan Eduardo Angulo | Oral & Maxillofacial Surgery | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2020-08-05 |
1902065014 | Shyam Prasad Aravindaksha | Oral & Maxillofacial Surgery | 29427 Ryan Rd, Warren, MI 48092-2203 | 2008-06-03 |
1760661789 | Warren Oral and Facial Surgery, Inc. | Oral & Maxillofacial Surgery | 8893 E Market St, Warren, OH 44484-2351 | 2007-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
1881792786 | James W Lepczyk | Oral & Maxillofacial Surgery | 31100 Telegraph, Suite 100, Bingham Farms, MI 48025 | 2006-09-21 |
1558472332 | Richard F Scott Dds Ms PC | Oral & Maxillofacial Surgery | 203 S Zeeb Road, Suite 101, Ann Arbor, MI 48103 | 2006-08-31 |
1922115633 | Nick Leone | Oral & Maxillofacial Surgery | 28018 Harper Avenue, St Clair Shores, MI 48081 | 2006-08-25 |
1598772626 | Oral & Maxillofacial Surgery Associates of Western Michigan Plc | Oral & Maxillofacial Surgery | 2140 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4785 | 2006-08-02 |
1831113125 | Jeffery Mcfadden | Oral & Maxillofacial Surgery | 33111 W. Seven Mile Rd., Livonia, MI 48152 | 2006-07-27 |
1609809250 | Richard Peter Bartling | Oral & Maxillofacial Surgery | 3011 Abigail Ln, Midland, MI 48640 | 2006-07-08 |
1710949953 | Robert Harry Burke | Oral & Maxillofacial Surgery | 2260 S Huron Pkwy, Ann Arbor, MI 48104-5151 | 2006-04-04 |
1497728380 | Brian H Cohen | Oral & Maxillofacial Surgery | 2120 Monroe St, Dearborn, MI 48124-2943 | 2006-02-10 |
1659355063 | Donald Gary Wolford | Oral & Maxillofacial Surgery | 22811 Mack Ave, L1, St Clair Shores, MI 48080-2021 | 2005-11-30 |
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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.