St Richard'S Clinic

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

ST RICHARD'S CLINIC

Practice address

4834 Socialville Foster Rd Ste 10
Mason, OH 45040-6805

Phone

(615) 692-2002

NPI assigned

Mar 29, 2024

Organization subpart

Yes

Parent organization

CHIBUIKE BRUNO OBIOHA LLCAs reported in NPPES

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

Authorized official

Name

Chibuike Bruno Obioha, MDNPI 1114160496

Title

Owner

Phone

(615) 692-2002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

St Richard'S Clinic

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chibuike Bruno Obioha, M.B.,B.S

  • Occupational Medicine Physician
  • Mason, OH
  • NPI 1114160496
  Medicare reassignment NPD Authorized official
• Saad Sakkal, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Milton, FL
  • NPI 1629325634
  NPD (past)

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1104677962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD STE 10",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406805",
            "telephone_number": "513-306-4910",
            "fax_number": "513-486-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD STE 10",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406805",
            "telephone_number": "615-692-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST RICHARD'S CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIBUIKE BRUNO OBIOHA LLC",
        "enumeration_date": "2024-03-29",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "OBIOHA",
        "authorized_official_first_name": "CHIBUIKE",
        "authorized_official_middle_name": "BRUNO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-692-2002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin R Spencer, MD
• Brent Spille, D.C.
• Michael Spivak, APRN, CNP
• Jami Michelle Spivey, LPN
• Kimberly Spivey, APRN-CNP
• Sameka Stafford
• Matthew Keen Stagner
• Courtney-Lynn Victoria Stahl, MD
• Pamela Suzette Stamper-Bahler, FNP-C
• Samantha Stander, PHARMD

• Preventive Medicine/Occupational Environmental Medicine Physician in Mason, OH
• Providers in Mason, OH by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.