Hatshepsut Mboluji Oshun, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08286 Issued in TX

Practice address

2412 Old North Rd Ste 101
Denton, TX 76209-1524

Phone

(940) 387-5800

NPI assigned

Jan 4, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DFW Community Medical Group PLLC

  dba Community Medical Clinic

  • Physician Assistant
  • Irving, TX
  • NPI 1942674296
  Medicare reassignment Authorized official
• Denton Family Clinic Corp

  • Family Medicine Physician
  • Denton, TX
  • NPI 1740750801
  Authorized official Same address or phone
• Callon Doc

  • Physician Assistant
  • Dallas, TX
  • NPI 1366162042
  NPD (past)

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346587854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 MATALEE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 OLD NORTH RD STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762091524",
            "telephone_number": "940-387-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Irving Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750616823",
            "country_code": "US",
            "telephone_number": "469-586-5657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSHUN",
        "first_name": "HATSHEPSUT",
        "middle_name": "MBOLUJI",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abril Jeseline Ortiz
• Brittany Ann Ortiz, MOT, OTR
• Osagieoduwa O Osawaye
• Heather Osborn
• Lisa Lynn Osbun, FNP-C, CRNI
• Omer M Osman
• Osnt Denton PLLC
• Osnt Denton PLLC
• Osteoporosis Center of Denton (Cindy A. Reese)
• Rhodora Ostrea, MD

• Physician Assistant in Denton, TX
• Providers in Denton, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.