Omega Heights Family Medicine Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OMEGA HEIGHTS FAMILY MEDICINE CLINIC

Doing business as

Omega Heights family medicine clinic

Practice address

1217 Florida Dr Ste 121
Arlington, TX 76015-2380

Phone

(214) 491-4900

Fax

(214) 491-4966

NPI assigned

Nov 19, 2024

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nanette Icho, MDNPI 1467656918

Title

Medical Director

Phone

(504) 453-0873

Specialties & licenses 1

Addresses

Other names 1

• Omega Heights family medicine clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nanette Ariayefah Icho, M.D.

  • Family Medicine Physician
  • McKinney, TX
  • NPI 1467656918
  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1114742772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 VIRGINIA PKWY STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714915",
            "telephone_number": "214-491-4900",
            "fax_number": "214-491-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 FLORIDA DR STE 121",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152380",
            "telephone_number": "214-491-4900",
            "fax_number": "214-491-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEIGHTS FAMILY MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "ICHO",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-453-0873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega Heights family medicine clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennie J Olopaade, PHARMD
• Monica R Olson, LPC
• Fredrick Akinkunle Olutoge
• Christiana Chizoba Omamegbe, PMHNP-BC
• Safia Omar, LCSW
• Omega Hospice Care, LLC (OHC Kind Hands)
• Omega Hospice Care, LLC
• Omega OB-GYN Associates of South Arlington
• Obiageli Omeke, MSN, APRN, PMHNP-BC
• Nnenne Omenkeukwu

• Family Medicine Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.