Oluchi Ozumba MD PA

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

OLUCHI OZUMBA MD PA

Practice address

601 S Cly St
Suite 104
Ennis, TX 75119

Phone

(844) 330-0900

Fax

(214) 594-9744

NPI assigned

Nov 14, 2019

Organization subpart

No

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

Authorized official

Name

Nicole Clarke-Smith

Title

Assistant

Phone

(214) 536-4818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olasumbo T. Afilaka, CFNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
  • NPI 1568692986
  Medicare reassignment Care Compare group NPD
• Youngsun Lee, APRN

  • Adult Health Nurse Practitioner
  • Arlington, TX
  • NPI 1750992327
  Medicare reassignment Care Compare group NPD
• Oluchi Ozumba, MD

  • Pain Medicine (Anesthesiology) Physician
  • Ennis, TX
  • NPI 1659412591
  Medicare reassignment Care Compare group NPD
• Paidamoyo Yvonne Wagoneka

  • Family Nurse Practitioner
  • Mansfield, TX
  • NPI 1700391257
  Medicare reassignment NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1285279158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 N MAIN ST UNIT 1386",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633293",
            "telephone_number": "844-330-0900",
            "fax_number": "214-594-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CLY ST",
            "address_2": "SUITE 104",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "75119",
            "telephone_number": "844-330-0900",
            "fax_number": "214-594-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUCHI OZUMBA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "CLARKE-SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "214-536-4818"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Northcutt, O.D.
• Northeastern Anesthesia Services PA
• Gerald Noterman, PT
• Mary C Noyola, APRN
• NW Main Chiropractic, P.a. (Ennis Chiropractic and Welness Center, P.a.)
• Marcela Orozco
• Gretchen Ann Ort, LM, CPM
• Gabriela Ortega
• Samantha Ortega, LVN
• Sandra Alicia Ortega

• Pain Medicine Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.