Darlene Racquel Oduyelu, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101232565 Issued in VA

Practice address

1400 Crossways Blvd Ste 114
Chesapeake, VA 23320-0207

Phone

(757) 953-6366

Fax

(757) 953-6056

NPI assigned

Jan 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Darlene Racquel Johnson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Medical Services PLC

  • Specialist
  • Virginia Beach, VA
  • NPI 1770596306
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1063483675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 TUSCANY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567751",
            "telephone_number": "757-252-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CROSSWAYS BLVD STE 114",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200207",
            "telephone_number": "757-953-6366",
            "fax_number": "757-953-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUYELU",
        "first_name": "DARLENE",
        "middle_name": "RACQUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101232565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLENE",
            "last_name": "JOHNSON",
            "middle_name": "RACQUEL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Occupational Health Centers of the Southwest P.a.
• Occupational Health Centers of the Southwest P.a.
• Occupational Medicine, Education and Research Services, LLC
• Grace A Odallo
• Damesha Odom
• Hope Offord-Powell, M.ED, CCC-SLP
• Martin G Ogrady, MD
• Linda Oh, DDS
• Sunday Ayodeji Olatunde, M.D.
• Wayne D Old, MD

• Family Medicine Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.