Individual provider Active NPI

Cosmas Onwudiwe Onuora, M.D.

  • Obstetrics & Gynecology Physician
  • Canton, OH
National Provider Identifier
1104856541
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35060206O Issued in OH
Practice address
4775 Higbee Ave NW
Canton, OH 44718-2551
Phone
(330) 493-9940
Fax
(330) 493-9943
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35060206O OH Primary

Addresses

Primary practice location

4775 Higbee Ave NW
Canton, OH 44718-2551

Mailing address

4775 Higbee Ave NW
Canton, OH 44718-2551
Phone (330) 493-9940

Other identifiers 3

IdentifierTypeStateIssuer
0805310MedicaidOH
000000138824OtherOHANTHEM
730482OtherOHBUCKEYE COMMUNITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000564 OH Practitioner - Obstetrics/Gynecology 5092800615 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35060206OOHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Hospital CurrentSince Apr 15, 2018 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital CurrentSince Apr 15, 2018 Accepting new patients
Ohio Physician Professional Corporation CurrentSince Nov 29, 2017 Accepting new patients
Cleveland Clinic Mercy Hospital Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242

Interoperability endpoints

  • Direct secure messaging: cosmas.onuora.1@14540.direct.athenahealth.com
  • Direct secure messaging: cosmas.onuora@3302.securemail.prognocis.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1104856541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-493-9940",
            "fax_number": "330-493-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-493-9940",
            "fax_number": "330-493-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUORA",
        "first_name": "COSMAS",
        "middle_name": "ONWUDIWE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35060206O",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805310",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000138824",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY",
            "identifier": "730482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.