Active NPI
Sophia A. Omoro, MD, PHD
- Otolaryngology Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35.129523
- Practice address
- 1005 Bellefontaine Ave Ste 125
Lima, OH 45804-2893 - Phone
- (419) 998-8244
- Fax
- (419) 998-8243
- NPI assigned
- Dec 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD.201447 | LA | |
| Otolaryngology Physician | 207Y00000X | MD201447 | LA | |
| Otolaryngology Physician | 207Y00000X | 35.129523 | OH | Primary |
Addresses
Primary practice location
1005 Bellefontaine Ave Ste 125
Lima, OH 45804-2893
Mailing address
1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, OH, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Tulane University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graham Hospital Association
Practice addresses (Care Compare)
180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201
2028 N Seminary St
Galesburg, IL 61401-4559
Phone (309) 647-0201
Hospital & facility affiliations
- Graham Hospital Association
- Graham Hospital Association
- St Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.201447 | LA | MD | Otolaryngology Physician |
| MD201447 | LA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Graham Hospital Association | Past | Accepting new patients |
Locations
1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
L3982
Columbus, OH 43260
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
1005 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 222-5160
1003 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 998-8207
Interoperability endpoints
- somoro@direct.mhg.com
Organizations & group practices 10
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.
-
- Specialist
- Lima, OH
- NPI 1457474900
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1376153023
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Hammond, LA
- NPI 1518326818
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Rural Health Clinic/Center
- Elmwood, IL
- NPI 1093288797
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Canton, IL
- NPI 1154117521
-
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1336323609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458042800",
"telephone_number": "419-998-4575",
"fax_number": "419-998-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 BELLEFONTAINE AVE STE 125",
"city": "LIMA",
"state": "OH",
"postal_code": "458042893",
"telephone_number": "419-998-8244",
"fax_number": "419-998-8243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMORO",
"first_name": "SOPHIA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-21",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "MD.201447",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "MD201447",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35.129523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.