Victory Care Clinic

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

VICTORY CARE CLINIC

Practice address

5189 Venoy Rd
Wayne, MI 48184-2545

Phone

(734) 259-4579

NPI assigned

Jan 29, 2022

Last updated

Nov 12, 2022By 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. Osamuedemen Iyoha, MDNPI 1144616079

Title

Owner

Phone

(313) 729-0016

Specialties & licenses 1

Addresses

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.

• Osamuedemen Iyoha, MD

  • Psychiatry Physician
  • Canton, OH
  • NPI 1144616079
  NPD Authorized official

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668211200000",
    "number": "1184377236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 ELDER RD S",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242537",
            "telephone_number": "313-729-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842545",
            "telephone_number": "734-259-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A",
        "authorized_official_last_name": "IYOHA",
        "authorized_official_first_name": "OSAMUEDEMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-729-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beck Vanamberg
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• Stephen Venable, MD, MPH, RN
• Michelle Anne Vernier, CRNA
• Normita Davila Vicencio, MD
• Victory Care Clinic
• Puthenparampil G Vijayakumaran, MD
• Vishnu Pemmaraju, MD
• Shawna Viskantas
• Vonnies World Non-Profit Organization

• Psychiatry Physician in Wayne, MI
• Providers in Wayne, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.