Oshea Sarwolo Poneys
Individual provider Active NPI Contractor · Homewood, AL
NPI 1043916281 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1043916281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 297 W Valley Ave Ste 9
Homewood, AL 35209-4817 - Phone
- (205) 908-6183
- NPI assigned
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
297 W Valley Ave Ste 9
Homewood, AL 35209-4817
Mailing address
297 W Valley Ave Ste 9
Homewood, AL 35209-4817
Phone (205) 908-6183
Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.