DR. BRIAN OGAN (NPI# 1528077948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528077948 |
| Entity Type | Individual |
| Full Name | DR. BRIAN OGAN |
| Credential | M.D. |
| Practice Address |
1303 W Evergreen Ave Effingham IL 62401-1638 |
| Mailing Address |
C/o Crossroads Bank Po Box 783 Effingham IL 62401-9906 |
| Practice Telephone | 2173472332 |
| Practice Fax Number | 2173472313 |
| Mailing Telephone | 2173472332 |
| Mailing Fax Number | 2173472313 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 036101808 | IL | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 336-067076 | IL | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
036-101808 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 904 W Temple Ave, Effingham, IL 624012178 | 2173421234 | 2173421230 |
| 901 Medical Park Dr, Suite 201, Effingham, IL 624012191 | 3129539793 |
| Street Address |
1303 W EVERGREEN AVE |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220243 | Thomas L. Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2005-10-21 |
| 1851891170 | Luke Ray Zumbahlen | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2018-02-13 |
| 1376051292 | Kayla R Deters | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2018-01-12 |
| 1932648318 | Jennifer Jean Hess | Nurse Practitioner | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2017-02-17 |
| 1689074296 | Diana Woltman | Registered Nurse | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2014-09-02 |
| 1942554647 | Andrea G Furlong | Physician Assistant | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 | 2012-11-01 |
| 1134493042 | Andrew Vannatta | Orthotist | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 | 2012-02-24 |
| 1003189333 | Kristyn Margaret Rosenkoetter | Physical Therapist | 1303 W Evergreen Ave, Effingham, IL 62401-1619 | 2012-02-16 |
| 1609152735 | Brock Wayne Athey | Physical Therapist | 1303 W Evergreen Ave, Biomax Ste 102, Effingham, IL 62401 | 2011-11-03 |
| 1548558950 | Nickolas A Williams | Physician Assistant | 1303 W Evergreen Ave, Effingham, IL 62401-1638 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801185616 | Illinois Spine and Pain Center Sc | Anesthesiology | 901medical Park Dr., Suite #201, Effingham, IL 62401-0000 | 2011-04-01 |
| 1093963340 | Brian N. Ogan, Md | Anesthesiology | 901 Medical Park Dr, Suite 201, Effingham, IL 62401-2191 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775770 | Regenerative Pain & Spine LLC | Anesthesiology | 2122 W Devon Ave, Chicago, IL 60659-3581 | 2020-09-22 |
| 1215552880 | Babu Prasad, Md | Anesthesiology | 2035 W Iles Ave Ste A, Springfield, IL 62704-7000 | 2020-06-10 |
| 1093330516 | Modern Pain Consultants | Anesthesiology | 1802 N Division St Ste 605, Morris, IL 60450-3133 | 2020-06-10 |
| 1255956777 | Modern Pain Consultants | Anesthesiology | 1890 Silver Cross Blvd Ste 315, New Lenox, IL 60451-9605 | 2020-06-10 |
| 1144844036 | Interventional Pain Medicine of Chicago Sc | Anesthesiology | 4433 W Touhy Ave Ste 235, Lincolnwood, IL 60712-1830 | 2020-06-05 |
| 1720627862 | Mm Infusions LLC | Anesthesiology | 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 | 2020-01-06 |
| 1538719778 | Cpc Surgical Suite LLC | Anesthesiology | 555 W Court St Ste 100, Kankakee, IL 60901-3673 | 2019-09-19 |
| 1659854008 | Rich Noren LLC | Anesthesiology | 9000 Waukegan Rd Ste 12, Morton Grove, IL 60053-2127 | 2018-09-12 |
| 1003336470 | Vertex Anesthesia LLC | Anesthesiology | 10 Orland Square Dr # 10-c, Orland Park, IL 60462-3207 | 2017-06-26 |
| 1306386644 | Advanced Pain and Anesthesia Consultants,pc | Anesthesiology | 5215 N California Ave Ste F715, Chicago, IL 60625-7014 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRIAN OGAN.
| 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.