Provider Demographics
NPI:1326400839
Name:ISENHOUR, JANIE OGLE (DO)
Entity Type:Individual
Prefix:DR
First Name:JANIE
Middle Name:OGLE
Last Name:ISENHOUR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2754 NC- 68 N
Mailing Address - Street 2:SUITE 111
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265
Mailing Address - Country:US
Mailing Address - Phone:336-802-1111
Mailing Address - Fax:859-323-1315
Practice Address - Street 1:2754 NC- 68 N
Practice Address - Street 2:SUITE 111
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-0298
Practice Address - Country:US
Practice Address - Phone:859-323-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3741208000000X
NC2020-027292080S0010X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine