West Ashley OBGYN PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

14683 Issued in SC

Legal business name

WEST ASHLEY OBGYN PA

Doing business as

Olumide M. Mughelli MD

Practice address

1843 Ashley River Rd
Charleston, SC 29407-4740

Phone

(843) 769-4424

Fax

(843) 769-4425

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Agnes Oyibokja Mughelli

Title

Business Manager

Phone

(843) 769-4424

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Olumide M. Mughelli MD Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5087/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1356546170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074740",
            "telephone_number": "843-769-4424",
            "fax_number": "843-769-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074740",
            "telephone_number": "843-769-4424",
            "fax_number": "843-769-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ASHLEY OBGYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MUGHELLI",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "OYIBOKJA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "843-769-4424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "14683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146835",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0338",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olumide M. Mughelli MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Wessel, MD
• Andrea Wessell, PHARMD
• West Ashley Colonoscopy Center
• West Ashley Dental Assoiciates
• West Ashley Family Dentistry, PA
• West Ashley Pediatric Therapy
• West Ashley Rehabilitation and Nursing Center-Charleston SC LLC
• West Ashley Wellness & Rehabilitation, LLC
• Adrianne English West, CRNA
• Amanda Elizabeth West, MPT

• Obstetrics & Gynecology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.