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Contact Information

GERARD O OGHLAKIAN, MD
2115 S FREMONT AVE
STE 4300
SPRINGFIELD, MO65804-2239
 Phone: 417-820-3911
 Fax: 417-820-3924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GERARD O OGHLAKIAN · (Male)

NPI Number 1679779979
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2007
Last updated 11/28/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2011006602
  • NJ License # TRAINING LICENSE
  • AR Medicaid 188964001
  • MO Medicaid 1679779979
  • MO Other P00954926 RR MCR
  • MO Other 431560263 TRICARE
Hospital affiliation(s)
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
  • MERCY HOSPITAL LEBANON - (Acute Care)
    100 HOSPITAL DRIVE
    LEBANON, MO 65536
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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