Provider Demographics
NPI:1700817673
Name:OGDEN II, ROGER H II (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:H
Last Name:OGDEN II
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2731 NAPOLEON AVENUE
Mailing Address - Street 2:SOUTHERN ORTHOPAEDIC SPECIALISTS
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-897-6351
Mailing Address - Fax:504-899-7317
Practice Address - Street 1:2731 NAPOLEON AVENUE
Practice Address - Street 2:SOUTHERN ORTHOPAEDIC SPECIALISTS
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-897-6351
Practice Address - Fax:504-899-7317
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-01370207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5904346Medicaid
NC5904346Medicaid
2056827Medicare ID - Type Unspecified