MARK T OGDEN (NPI# 1891720777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891720777 |
| Entity Type | Individual |
| Full Name | MARK T OGDEN |
| Credential | DO |
| Practice Address |
111 Dallas St Emergency Room San Antonio TX 78205-1201 |
| Mailing Address |
Po Box 12740 Westminster CA 92685-2740 |
| Practice Telephone | 2106140180 |
| Practice Fax Number | 2106157170 |
| Mailing Telephone | 5624680227 |
| Mailing Fax Number | 5624670865 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | M4406 | TX | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
M4406 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 183200802 | 05 | |
| TX | 183200805 | 05 | |
| TX | BCBS | 8AB501 | 01 |
| TX | BCBS | 8W4062 | 01 |
| TX | 183200801 | 05 |
| Street Address |
111 DALLAS ST EMERGENCY ROOM |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78205-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412666 | Select Specialty Hospital - San Antonio Inc | Long Term Care Hospital | 111 Dallas St, 4th Fl, San Antonio, TX 78205-1201 | 2005-07-26 |
| 1366040487 | Charlene Devyn Anderson | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-10-12 |
| 1043832777 | Briana Rochelle Garza | Occupational Therapist | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-05-15 |
| 1477182186 | Lu Ge | Pharmacist | 111 Dallas St, San Antonio, TX 78205-1201 | 2020-04-04 |
| 1629621909 | Shawn Timothy Woodland | Occupational Therapist | 111 Dallas St, 4th Floor Building C, San Antonio, TX 78205 | 2019-07-16 |
| 1457821290 | Blanca Azucena Macias | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-12-04 |
| 1801376637 | Matthew Joseph Kraus | Occupational Therapist | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-08-21 |
| 1174002208 | Hospitalist Medicine Physicians of Texas - San Antonio, Pllc | Internal Medicine | 111 Dallas St, San Antonio, TX 78205-1201 | 2018-08-09 |
| 1639661820 | Ashley Nicole Brown | Nurse Practitioner | 111 Dallas St, San Antonio, TX 78205 | 2018-06-04 |
| 1639689193 | Baptist Diagnostics, LLC | Clinical Medical Laboratory | 111 Dallas St, San Antonio, TX 78205-1201 | 2017-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1508381757 | Davis Vision Inc | Eyewear Supplier (Equipment, not the service) | 175 E Houston, San Antonio, TX 78205 | 2017-08-09 |
| 1841647138 | Karen Tanguma | Counselor | 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 | 2016-05-17 |
| 1346652500 | Lone Star Script Care LLC | Case Management | 310 S. S Mary's St, 1290, San Antonio, TX 78205 | 2014-05-22 |
| 1821227919 | Teresa Yanhong Chen | Optometrist | 175 East Houston St, Visionworks, San Antonio, TX 78205 | 2009-07-09 |
| 1164650735 | Mark Joseph Trevino | Ophthalmology | 414 Navarro St Ste 400, San Antonio, TX 78205 | 2009-06-23 |
| 1386882520 | Nicolas A. Melgarejo | Internal Medicine | 343 W. Houston St., Suite #808, San Antonio, TX 78205 | 2009-01-26 |
| 1518135904 | Khan Z Shirani | Emergency Medicine | 414 Navarro St Ste 500, San Antonio, TX 78205 | 2008-02-19 |
| 1619076700 | Candace Lynese Bellamy | Family Medicine | 221 3rd St. West, San Antonio, TX 78205 | 2006-09-22 |
| Find all providers in zip 78205 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063652147 | Sean Wang | Emergency Medicine | 7703 Floyd Curl Drive, Ms 7736, Uthscsa, Department of Emergency Medicine, San Antonio, TX 78229 | 2009-03-02 |
| 1194778886 | Ted W Switzer | Emergency Medicine | 14719 Sir Huon St, San Antonio, TX 78248-1147 | 2006-05-17 |
| 1295720209 | Joseph L Mcdaniel | Emergency Medicine | 111 Dallas Street, Emergency Room, San Antonio, TX 78205-1201 | 2005-09-15 |
| 1740280999 | Keith Beck | Emergency Medicine | 7579 N Loop 1604 W, Suite 101, San Antonio, TX 78249-2781 | 2005-07-29 |
| 1255841011 | 2013 Pearl Er Physicians Pllc | Emergency Medicine | 2015 Broadway St, San Antonio, TX 78215-1117 | 2017-10-06 |
| 1578934881 | Cec City Base Er Physicians Pllc | Emergency Medicine | 2619 Se Military Dr, 101, San Antonio, TX 78223-4312 | 2015-10-13 |
| 1528453495 | Cec Dezavala Er Physicians Pllc | Emergency Medicine | 4999 De Zavala Rd, San Antonio, TX 78249-2097 | 2015-03-30 |
| 1194117374 | Cec Alamo Heights Er Physicians Pllc | Emergency Medicine | 6496 N New Braunfels Ave, San Antonio, TX 78209-3827 | 2015-02-25 |
| 1831513944 | Fossil Creek Er Physicians Pllc | Emergency Medicine | 22250 Bulverde Rd, Suite 120, San Antonio, TX 78261-3084 | 2014-02-10 |
| 1124364302 | Cec San Antonio Er Physicians Pllc | Emergency Medicine | 10628 Culebra Rd, San Antonio, TX 78251-1312 | 2012-12-17 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78205 |
Please comment or provide details below to improve the information on MARK T OGDEN.
| 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.