MS. DORCAS S OGLE


Address: 707 W 2nd St, Bloomington, IN 47403-2209
Phone: 8123345081

MS. DORCAS S OGLE (NPI# 1124189865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124189865
Entity Type Individual
Full Name MS. DORCAS S OGLE
Other Name MS. DORCAS S MAROON
Credential PA-C
Practice Address 707 W 2nd St
Bloomington
IN 47403-2209
Mailing Address 1824 King St
Ste 200
Jacksonville
FL 32204-4736
Practice Telephone 8123345081
Practice Fax Number 8123345091
Mailing Telephone 9043843343
Mailing Fax Number 9044006671
Enumeration Date 2006-12-13
Last Update Date 2019-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9110831 FL Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
085002858 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3599 University Blvd S, Ste 602, Jacksonville, FL 322164235 9043988147 9044006674

Office Location

Street Address 707 W 2ND ST
City BLOOMINGTON
State IN
Zip Code 47403-2209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780682781 Bryan E. Mcdonnell Thoracic Surgery (Cardiothoracic Vascular Surgery) 707 W 2nd St, Bloomington, IN 47403-2209 2005-07-13
1326698960 Kelli Foster Physician Assistant 707 W 2nd St, Bloomington, IN 47403-2209 2019-09-16
1265932651 Claire Massman Physician Assistant 707 W 2nd St, Bloomington, IN 47403-2209 2018-02-13
1639276199 David W. Hart Thoracic Surgery (Cardiothoracic Vascular Surgery) 707 W 2nd St, Bloomington, IN 47403-2209 2006-09-19
1063449080 David H Savage Thoracic Surgery (Cardiothoracic Vascular Surgery) 707 W 2nd St, Bloomington, IN 47403-2209 2006-06-26
1326096124 Laureen S Knuteson Physician Assistant 707 W 2nd St, Bloomington, IN 47403-2209 2006-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598770174 Herman James Saul Jr. Physician Assistant 7901 Xerxes Ave S Ste 116, Bloomington, MN 55431-1200 2006-07-30
1245296508 Todd Nisley Physician Assistant 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2006-04-25
1649258831 Susan E Bayer Physician Assistant 8100 Northland Dr, Bloomington, MN 55431-4800 2006-01-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386289957 Jordan Nickley Nemer Physician Assistant 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 2019-11-07
1760947329 Ellen M Randall Physician Assistant 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 2019-02-07
1710459839 Alyssa Tripp Physician Assistant 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 2018-12-31
1992283899 Kelsey Arnold Physician Assistant 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 2018-08-02
1396249926 Deaconess Specialty Physicians, Inc Physician Assistant 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 2018-03-20
1477924892 Kristen Marie Ness Physician Assistant 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 2015-10-12
1982945960 Heather Bunnell Physician Assistant 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 2013-03-15
1255685772 Jarron J Lincoln Physician Assistant 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 2012-11-06
1427364926 Rebecca Lou Autry Physician Assistant 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 2010-08-23
1558685495 Douglas D Kesler Physician Assistant 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 2010-03-22
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Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

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.

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