Christopher Wade Ogburn (NPI# 1023037165, PAC ID# 6103015920) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1023037165 |
PAC ID by PECOS | 6103015920 |
Professional Enrollment ID | I20110110000896 |
Full Name | Christopher Wade Ogburn |
Organization Legal Name | PRIME CARE FAMILY PRACTICE, P.C. |
Address |
4700 Puddledock Rd Suite 300 Prince George VA 23875-1268 |
Phone Number | 8045261111 |
Gender | M |
Graduation Year | 1997 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 5799738035 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
490020 | JOHN RANDOLPH MEDICAL CENTER |
490136 | BON SECOURS ST FRANCIS MEDICAL CENTER |
490032 | MEDICAL COLLEGE OF VIRGINIA HOSPITALS |
490112 | CJW MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 | 8045261111 | PRIME CARE FAMILY PRACTICE, P.C. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 69% | |
ACI_EC_TRANS_HIE_1 | Health Information Exchange | 22% | |
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 90% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 93% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 33% | |
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 44% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 67% | |
MIPS_EC_047_overall | Care Plan | 4% | |
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 99% | |
MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 88% | |
MIPS_EC_113_overall | Colorectal Cancer Screening | 95% | |
MIPS_EC_117_overall | Diabetes: Eye Exam | 96% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 43% |
Organization Legal Name | PRIME CARE FAMILY PRACTICE, P.C. |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lesli Antoinette Brown | Family Medicine | Prime Care Family Practice, P.C. | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 |
Lisa C Shah | Family Medicine | Prime Care Family Practice, P.C. | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 |
Khin K Thein | Family Medicine | Prime Care Family Practice, P.C. | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 |
Amar R Shah | Family Medicine | Prime Care Family Practice, P.C. | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 |
Street Address |
4700 PUDDLEDOCK RD SUITE 300 |
City | PRINCE GEORGE |
State | VA |
Zip | 23875-1268 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lesli Antoinette Brown | Family Medicine | Prime Care Family Practice, P.C. | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 |
Lisa C Shah | Family Medicine | Prime Care Family Practice, P.C. | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 |
Khin K Thein | Family Medicine | Prime Care Family Practice, P.C. | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 |
Amar R Shah | Family Medicine | Prime Care Family Practice, P.C. | 4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jemina M Liverman | Nurse Practitioner | Central Virginia Health Services Inc | 4260 Crossing Blvd, Suite 2, Prince George, VA 23875 |
Elizabeth Kramen Barker | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
Elisa B Bivins | Nurse Practitioner | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
John A Cochran | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
Juan A Morin Jr. | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
Gregory D Symenow | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
Robert J Klase | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
Brian W Mccauley | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
Jeffry A Zimmerman | Physician Assistant | Emergency Physicians Immediate Care Center 2 LLC | 4600 Puddledock Rd, Prince George, VA 23875-1235 |
Bushra Khan | Neurology | Neuro Care of Virginia PC | 4720 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 |
Find all physicians in zip 23875 |
City | PRINCE GEORGE |
Zip Code | 23875 |
Specialty | FAMILY MEDICINE |
City + Specialty | PRINCE GEORGE + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.