Active NPI
Jude Okechukwu Onuoha, MD
- Public Health & General Preventive Medicine Physician
- Columbia, SC
National Provider Identifier
1124231519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 2009-01101
- Practice address
- 3209 Colonial Dr
Columbia, SC 29203-6930 - Phone
- (803) 434-7399
- Fax
- (803) 434-8374
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | LL 29380 | SC | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 2009-01101 | NC | Primary |
Addresses
Primary practice location
3209 Colonial Dr
Columbia, SC 29203-6930
Mailing address
PO Box 265
Waxhaw, NC 28173
Phone (980) 315-3540
Other names 1
- Dr. Okechukwu Jude Onuoha
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-01101 | NC | MD | Public Health & General Preventive Medicine Physician |
| LL 29380 | SC | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace Medical Center and Wellness, PLLC | Public Health & General Preventive Medicine | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Waxhaw, NC
- NPI 1235729104
Public Health & General Preventive Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1124231519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 265",
"city": "WAXHAW",
"state": "NC",
"postal_code": "28173",
"telephone_number": "980-315-3540",
"fax_number": "704-494-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036930",
"telephone_number": "803-434-7399",
"fax_number": "803-434-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONUOHA",
"first_name": "JUDE",
"middle_name": "OKECHUKWU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "SC",
"license": "LL 29380",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NC",
"license": "2009-01101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OKECHUKWU",
"last_name": "ONUOHA",
"middle_name": "JUDE",
"prefix": "DR.",
"credential": "MD MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.