OG MEDICAL SERVICES, LLC (NPI# 1841741816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841741816 |
| Entity Type | Organization |
| Organization Name | OG MEDICAL SERVICES, LLC |
| Practice Address |
3830 Woodridge Blvd Ste C Fairfield OH 45014-7564 |
| Practice Telephone | 5672742624 |
| Mailing Telephone | 5672742624 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | OMAR GARCIA (OWNER) |
| Authorized Official Telephone | 5672742624 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
35127094 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868531 | Og Medical Services, LLC | Nurse Practitioner | 3431 Cleveland Ave, Ste G, Columbus, OH 43224 | 2019-03-01 |
| Street Address |
3830 WOODRIDGE BLVD STE C |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-7564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538712393 | Maryjane Np Inc | Clinic/Center | 3830 Woodridge Blvd Ste C, Fairfield, OH 45014-7564 | 2019-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422916 | Rebecca Hardt | Nurse Practitioner | 79 Applewood Dr, Fairfield, OH 45014-5297 | 2020-09-17 |
| 1164038725 | George Edward Guju Jr. | Nurse Practitioner | 925 Deis Dr, Fairfield, OH 45014-8130 | 2020-09-18 |
| 1265993083 | Min Choi | Nurse Practitioner | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2019-03-26 |
| 1609304963 | Rebecca L Parker | Nurse Practitioner | 1860 Pennsylvania Ave, Fairfield, CA 94533-3590 | 2017-05-31 |
| 1023436813 | Laurence Cecilio | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2014-03-31 |
| 1225381833 | Traci N Phillips | Nurse Practitioner | 3000 Mack Rd, Ste 120, Fairfield, OH 45014-5335 | 2012-10-19 |
| 1992057004 | Alonya Elgrably | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2012-10-12 |
| 1174894612 | Damon N Toczylowski | Nurse Practitioner | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2012-01-13 |
| 1629355466 | Nicole C. Engelbert | Nurse Practitioner | 3000 Mack Rd, Ste 120, Fairfield, OH 45014-5335 | 2011-11-08 |
| 1851521470 | Amanda L Rumpke | Nurse Practitioner | 3000 Mack Rd, Ste. 120, Fairfield, OH 45014-5335 | 2009-07-16 |
| Find all providers in FAIRFIELD | ||||
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| 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.