Physician Compare National (NPI:1891720777)

HEALTHCARE PROVIDER: MARK T OGDEN DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891720777
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103884788
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20061206000332
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OGDEN
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	THOMAS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	232 FM
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 474
	Group Practice or individual's line 2 address
City	BOERNE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	780068213
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8303880040
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670177
	Medicare CCN of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y