Kenneth Oglesby, DPM
Podiatrist in Bloomington, IN
Registered providerLicense # listed (IN)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 583 S Clarizz Blvd, Bloomington, IN 47401
- Phone
- (812) 355-6933
- Listed under
- Individual podiatrists
- NPI
- 1285735712
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Podiatrist (213E00000X)
- Credentials listed
- DPM
- License number on NPI record
- 07000932A (IN)
- NPI first issued
- Sep 26, 2006
- Years since NPI first issued
- 20 years (since 2006)
- License state on NPI record
- IN
- NPI record last updated
- Dec 18, 2020
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 1998 (28 years ago)
- Medicare group practice (CMS)
- Iu Health Medical Group LLC (4,462 clinicians); Indiana University Health Southern Indiana Physicians LLC (463 clinicians)
- Practice locations on file with Medicare (CMS)
- 2
- Other podiatry listings at this street address
- 1
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