Healthcare Provider Details

I. General information

NPI: 1982707865
Provider Name (Legal Business Name): JAMIE ALISE OGDEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE ALISE HARRIS

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 SMILEY LN
COLUMBIA MO
65202-1947
US

IV. Provider business mailing address

PO BOX 843966
KANSAS CITY MO
64184-3966
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-8980
  • Fax: 573-884-0040
Mailing address:
  • Phone: 573-884-3300
  • Fax: 573-884-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2008008170
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: