DR. TAKIA MARCELLUS OGLESBY (NPI# 1972720928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972720928 |
| Entity Type | Individual |
| Full Name | DR. TAKIA MARCELLUS OGLESBY |
| Credential | M.D. |
| Practice Address |
7351 Old Moon Rd Columbus GA 31909-7291 |
| Practice Telephone | 7066537000 |
| Practice Fax Number | 7066537800 |
| Mailing Telephone | 7066537000 |
| Mailing Fax Number | 7066537800 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
063107 | GA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
063107 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202I728681 | 01 |
| GA | 008131896A | 05 |
| Street Address |
7351 OLD MOON RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-7291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598300 | Novamed Surgery Center of Columbus, LLC | Clinic/Center | 7351 Old Moon Rd, Columbus, GA 31909-1741 | 2005-06-21 |
| 1114383973 | Jenny Prinsell | Nurse Practitioner | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2016-01-11 |
| 1801229307 | H.e. Sam Schuler | Registered Nurse | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2013-08-20 |
| 1073877692 | Kristie Michelle Spivey | Nurse Practitioner | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2012-06-28 |
| 1013212927 | North Columbus Surgery Center LLC | Clinic/Center | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2011-01-24 |
| 1144537630 | Magenia Janney | Nurse Practitioner | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2010-09-07 |
| 1891937934 | Jeffrey Robert Prinsell Jr. | Anesthesiology | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2009-04-06 |
| 1942359906 | The Nexus Pain Center of Columbus LLC | Non-Pharmacy Dispensing Site | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2007-01-09 |
| 1285698738 | Sung Kyu Chang | Anesthesiology | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871050781 | Pain Management Solution LLC | Pain Medicine | 4010 W Goeller Blvd Ste C, Columbus, IN 47201-8312 | 2019-02-27 |
| 1518379205 | Ips Asc, LLC | Pain Medicine | 1210 Gemini Pl Ste 301, Columbus, OH 43240-6112 | 2014-05-29 |
| 1194883926 | Delta Pain Consultants, Inc. | Pain Medicine | 4602 Sawmill Rd, Columbus, OH 43220-2247 | 2006-12-05 |
| 1194833970 | Southeast Regional Pain Ctr PC | Pain Medicine | 5669 Whitesville Road, Columbus, GA 31904 | 2006-08-29 |
| 1891229795 | Ips Asc, LLC | Pain Medicine | 1210 Gemini Pl, Suite 301, Columbus, OH 43240-6109 | 2017-04-18 |
| 1740584176 | Capital City Pain Care LLC | Pain Medicine | 3600 Olentangy River Road, Building 480, Columbus, OH 43214 | 2010-12-28 |
| 1083844013 | International Pain & Rehabilitation Center,llc | Pain Medicine | 99 N Brice Rd, Ste 240, Columbus, OH 43213-6510 | 2009-07-24 |
| 1073798427 | Bruce Massau, D.o., P.C. | Pain Medicine | 393 E Town St, Suite 109, Columbus, OH 43215-4741 | 2008-01-04 |
| 1588787162 | Kenneth Barngrover | Pain Medicine | 5669 Whitesville Rd, Columbus, GA 31904-9054 | 2007-04-09 |
| 1083719504 | Bruce Massau | Pain Medicine | 393 E Town St, Suite 109, Columbus, OH 43215-4741 | 2006-09-13 |
| Find all providers in COLUMBUS | ||||
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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.