Active NPI
Anthony A Onuigbo, M.D.
- Obstetrics & Gynecology Physician
- Waterloo, IA
National Provider Identifier
1255339925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34017
- Practice address
- 227 E San Marnan Dr
Ste 1
Waterloo, IA 50702-5829 - Phone
- (319) 486-1731
- Fax
- (319) 300-4055
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34017 | IA | Primary |
Addresses
Primary practice location
227 E San Marnan Dr
Ste 1
Waterloo, IA 50702-5829
Mailing address
227 E San Marnan Dr Ste 1
Waterloo, IA 50702-5829
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IA0144 | Other | JOHN DEERE HEALTH CARE | |
| 0229823 | Medicaid | IA | |
| 160052176 | Other | RAILROAD MEDICARE | |
| 26246 | Other | WELLMARK |
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 |
|---|---|---|---|
| 34017 | IA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Obstetrics & Gynecology | Past | 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.
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1104741925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1255339925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 E SAN MARNAN DR STE 1",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 E SAN MARNAN DR",
"address_2": "STE 1",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025829",
"telephone_number": "319-486-1731",
"fax_number": "319-300-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONUIGBO",
"first_name": "ANTHONY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "34017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH CARE",
"identifier": "IA0144",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0229823",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160052176",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "26246",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.