Active NPI
Sandra Onyeagoro, M.D.
- Psychiatry Physician
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0082306
- Practice address
- 4100 College Ave
Ellicott City, MD 21043-5506 - Phone
- (443) 364-5500
- NPI assigned
- Jun 16, 2009
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Psychiatry Physician | 2084P0800X | 2013-00120 | NC | |
| Psychiatry Physician | 2084P0800X | D0082306 | MD | Primary |
Addresses
Primary practice location
4100 College Ave
Ellicott City, MD 21043-5506
Mailing address
7628 Elmcrest Rd
Hanover, MD 21076-1873
Phone (301) 326-7818
Other practice location 1
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 277-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104053362 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19056 Greenbush Rd
Parksley, VA 23421-2510
Phone (757) 665-1260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0082306 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Psychiatry | Current | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600
1625 N George Mason Dr
Ste 345
Arlington, VA 22205
Phone (703) 717-4400
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
1200 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 372-3900
621 Emancipation Hwy
Ste 201
Fredericksburg, VA 22401
Phone (540) 372-2028
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eastern Shore Behavioral Healthcare Center
- Professional Counselor
- Parksley, VA
- NPI 1154411510
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
dba VHC Health Medical Group Maternal Fetal Medicine
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
dba ARMC Health Care Employee Pharmacy
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
dba VHC Health Medical Group Neurology
- Neurology Physician
- Arlington, VA
- NPI 1245010479
-
dba VHC Health Medical Group Behavioral Health Services
- Psychiatry Physician
- Arlington, VA
- NPI 1952678427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104053362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7628 ELMCREST RD",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761873",
"telephone_number": "301-326-7818",
"fax_number": "410-799-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 COLLEGE AVE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210435506",
"telephone_number": "443-364-5500"
}
],
"practiceLocations": [
{
"address_1": "3333 Silas Creek Pkwy",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033013",
"country_code": "US",
"telephone_number": "336-277-1800",
"fax_number": "336-277-6981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONYEAGORO",
"first_name": "SANDRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2013-00120",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0082306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104053362",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.