1245449461 NPI number — DR. ROGER OHANES OGHLAKIAN MD

Table of content: DR. ROGER OHANES OGHLAKIAN MD (NPI 1245449461)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245449461 NPI number — DR. ROGER OHANES OGHLAKIAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OGHLAKIAN
Provider First Name:
ROGER
Provider Middle Name:
OHANES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245449461
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2115 S FREMONT AVE STE 3000
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65804-2215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-829-9123
Provider Business Mailing Address Fax Number:
417-820-3935

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2115 S FREMONT AVE
Provider Second Line Business Practice Location Address:
STE 3000
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65804-2239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-820-9123
Provider Business Practice Location Address Fax Number:
417-820-3935
Provider Enumeration Date:
05/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  57.011624 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X , with the licence number: 2011003940 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 431560263 . This is a "TRICARE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 1245449461 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 187910001 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00954926 . This is a "RR MCR" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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