Clement Adedejo Ogunwande, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C20004996 Issued in DE

Practice address

1800 N. Broom Street
Suite 109
Wilmington, DE 19802

Phone

(302) 762-4545

Fax

(302) 762-9086

NPI assigned

Oct 2, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Medicine at GreenhillGroup PAC ID 9931181013, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
• Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
• Christiana Hospital Hospital, Newark, DE, CCN 080001
• St Francis Hospital Hospital, Wilmington, DE, CCN 080003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family Medicine at Greenhill

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1427116086
  Medicare reassignment Care Compare group NPD
• Christiana Care Health Services Inc

  • Hospitalist Physician
  • Newark, DE
  • NPI 1245474329

  Family Medicine

  Medicare reassignment NPD
• Inpatient Consultants of Delaware, LLC

  • Hospitalist Physician
  • Wilmington, DE
  • NPI 1073706099

  Family Medicine

  Medicare reassignment NPD
• Christiana Care Health Services Inc

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Home Health and Community Services, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1437152154
  Care Compare affiliation Name & address match
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1245277219
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Newark, DE
  • NPI 1366473969
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • New Castle, DE
  • NPI 1447281043
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Milford, DE
  • NPI 1780810424
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1821029422
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation
• St. Francis Hospital Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1295738896
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1295828127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N. BROOM STREET",
            "address_2": "SUITE 109",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19802",
            "telephone_number": "302-762-4545",
            "fax_number": "302-762-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N. BROOM STREET",
            "address_2": "SUITE 109",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19802",
            "telephone_number": "302-762-4545",
            "fax_number": "302-762-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNWANDE",
        "first_name": "CLEMENT",
        "middle_name": "ADEDEJO",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0004996",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20004996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000981603",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Andrea Oertel, PTA
• Carol A Oesterbo, DTR
• Chris Onyese Ogbonnah, MS
• Winifred Ogbunamiri Ogbunamiri, NP
• Teledalase Ogundipe
• Morgan Ohm, ATC
• Winnie Oirere
• Chukwufumnanya Judith Ojo
• Michelle Ojo
• John K Okada

• Family Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.