Ofoha, M.D. Clinic, LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1046 Issued in VI

Legal business name

OFOHA, M.D. CLINIC, LLC.

Practice address

9202 Vitraco Park
Suite 13
St Thomas, VI 00802

Phone

(340) 714-5800

NPI assigned

Jan 3, 2011

Last updated

Jan 3, 2011By 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. Kenneth O Ofoha, M.D.

Title

Owner

Phone

(340) 714-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1194029306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12199",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008015199",
            "telephone_number": "340-714-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 VITRACO PARK",
            "address_2": "SUITE 13",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-714-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFOHA, M.D. CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "OFOHA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "340-714-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VI",
            "license": "1046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilias Nigamatov, M.D.
• Ronald Clinton Nimmo, M.D.
• Nkinzo M. Nkunzi, DRPT
• Bonnie J O'Rourke-Barr, P.T.
• Frank Alphonso Odlum, M.D.
• Stephen Okiye, MD
• Ermin E. Olive, M.S.,RD
• On the Go Physio
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• Open Arms Adult Daycare & Respite Services, LLC

• Clinic/Center in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Clinic/Center in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.