MEDICARE: DR. JAMES D OGDEN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	0910P	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4059795	OTHER	TX	AETNA
4	87M512	OTHER	TX	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1497751846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES D OGDEN DPM

Provider Business Mailing Address
First Line	:	12042 BLANCO RD
Second Line	:	SUITE 310
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-5440
Country	:	US
Telephone Number	:	210-341-4183
Fax Number	:	210-341-3831

Provider Business Practice Location Address
First Line	:	12042 BLANCO RD
Second Line	:	SUITE 310
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-5440
Country	:	US
Telephone Number	:	210-341-4183
Fax Number	:	210-341-3831

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	03/11/2021

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