Provider Demographics
NPI:1497383897
Name:OGDEN, ALEXANDER PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:PAUL
Last Name:OGDEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55TH MEDICAL GROUP
Mailing Address - Street 2:2501 CAPEHART ROAD
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68113
Mailing Address - Country:US
Mailing Address - Phone:402-232-2273
Mailing Address - Fax:
Practice Address - Street 1:55TH MEDICAL GROUP
Practice Address - Street 2:2501 CAPEHART ROAD
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68113
Practice Address - Country:US
Practice Address - Phone:402-232-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MS291622083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine