Ghislaine Laissa Ouedraogo, M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101239861 Issued in VA

Practice address

12 N Thompson St
Richmond, VA 23221-2718

Phone

(804) 359-9861

NPI assigned

Aug 20, 2006

Last updated

Nov 6, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1144335126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758963",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212758963",
            "telephone_number": "804-822-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N THOMPSON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212718",
            "telephone_number": "804-359-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUEDRAOGO",
        "first_name": "GHISLAINE",
        "middle_name": "LAISSA",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101239861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ott, NP
• Eric Alan Ott
• Catherine Otterburn
• Charles Carson Otterstedt IV, LMSW
• Faizal Ouedraogo, MD, MPH
• Lisa Godman Ould
• Our Lady of Hope Health Center, Inc
• Our Legacy Ventures LLC (Homewatch Caregivers of Richmond)
• Our Youth Acadmey (O.Y.a.)
• Tanner Ourada

• Internal Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.