Ejeehi Umobuarie, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29679 Issued in OK

Practice address

341 S 28TH St
Clinton, OK 73601-3701

Phone

(580) 323-8747

NPI assigned

Jul 13, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Pediatric Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ejeehi.umobuarie.1@4696.direct.athenahealth.com
• Direct secure messaging: ejeehi.umobuarie.1@27962.direct.athenahealth.com

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.

• Maranatha Family Company LLC

  • Pediatrics Physician
  • Clinton, OK
  • NPI 1609584978
  Medicare reassignment NPD Authorized official
• Clinton Hospital Authority

  • General Acute Care Hospital
  • Clinton, OK
  • NPI 1942921929
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1154633535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 S 28TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013701",
            "telephone_number": "580-323-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 S 28TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013701",
            "telephone_number": "580-323-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMOBUARIE",
        "first_name": "EJEEHI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "29679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejeehi.umobuarie.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "341 S 28th St",
            "city": "Clinton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736013701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejeehi.umobuarie.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "341 S 28th St",
            "city": "Clinton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736013701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher E. Thompson
• Melissa Torres Coons, APRN-CNP
• Jeremiah Edwin Trent
• Ann Truong
• Tanya Irene Turino
• United Methodist Retirement & Health Care Center, Inc.
• Rebecca Uraneck, RN
• US Public Health Service Indian Health
• Variety Care, Inc.
• Vic Fey MD Inc a Professional Corporation

• Pediatrics Physician in Clinton, OK
• Providers in Clinton, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.