Provider Demographics
NPI:1053376905
Name:OGIN, BARRY A (MD)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:A
Last Name:OGIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1390 S POTOMAC ST
Mailing Address - Street 2:STE 128
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-6165
Mailing Address - Country:US
Mailing Address - Phone:303-341-4785
Mailing Address - Fax:303-341-1479
Practice Address - Street 1:1390 S POTOMAC ST
Practice Address - Street 2:STE 100
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-6165
Practice Address - Country:US
Practice Address - Phone:303-341-0722
Practice Address - Fax:303-341-0832
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2014-12-09
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Provider Licenses
StateLicense IDTaxonomies
CO37911208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC249258Medicare PIN
COH04841Medicare UPIN