Provider Demographics
NPI:1497751846
Name:OGDEN, JAMES D (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:OGDEN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:12042 BLANCO RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5440
Mailing Address - Country:US
Mailing Address - Phone:210-341-4183
Mailing Address - Fax:210-341-3831
Practice Address - Street 1:12042 BLANCO RD
Practice Address - Street 2:SUITE 310
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5440
Practice Address - Country:US
Practice Address - Phone:210-341-4183
Practice Address - Fax:210-341-3831
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX0910P213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX083157001Medicaid
TX112213702Medicaid
TX4059795OtherAETNA
TX87M512OtherBLUE CROSS/BLUE SHIELD
TXT15094Medicare UPIN