Active NPI
Sirri A. Nomo-Ongolo, MD
- Emergency Medicine Physician
- Saint Anthony, MN
National Provider Identifier
1306895271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 42232
- Practice address
- 3616 Roosevelt St NE
Saint Anthony, MN 55418-1559 - Phone
- (612) 706-2980
- Fax
- (612) 706-2981
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 42232 | MN | Primary |
Addresses
Primary practice location
3616 Roosevelt St NE
Saint Anthony, MN 55418-1559
Mailing address
3616 Roosevelt St NE
Saint Anthony, MN 55418-1559
Phone (612) 788-0448
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 |
|---|---|---|---|
| 42232 | MN | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306895271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3616 ROOSEVELT ST NE",
"city": "SAINT ANTHONY",
"state": "MN",
"postal_code": "554181559",
"telephone_number": "612-788-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3616 ROOSEVELT ST NE",
"city": "SAINT ANTHONY",
"state": "MN",
"postal_code": "554181559",
"telephone_number": "612-706-2980",
"fax_number": "612-706-2981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOMO-ONGOLO",
"first_name": "SIRRI",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "42232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Anthony, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.