Odion Jonathan Ologbauma, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

LB-0000238 Issued in DE

Practice address

109 Jillians Way
New Castle, DE 19720-8863

Phone

(302) 533-6158

Fax

(302) 533-6187

NPI assigned

Nov 23, 2010

Last updated

Dec 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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 DE

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

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christiana Care Health Services Inc

  dba CCHS Wilm Health Ctr

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1760811681
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DE

  Medicare reassignment NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

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

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1356643357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 JILLIANS WAY",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208863",
            "telephone_number": "302-533-6158",
            "fax_number": "302-533-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 JILLIANS WAY",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208863",
            "telephone_number": "302-533-6158",
            "fax_number": "302-533-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOGBAUMA",
        "first_name": "ODION",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LB-0000238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Oh, MSPT
• Olufemi S Olatunji, BSN,RN,C
• Samuel Oluwafemi Olatunji, REGISTERED NURSE, RN
• Diane M Oliver, RD
• Louis P. Olivere, CRNA
• Tope Oloniyo, MD
• Pauline Omanya
• Godwin Chukwuka Onuoha, FNP
• Mary Abiodun Orefuwa, PHARMD
• Kelvin M Ouko

• Adult Health Nurse Practitioner in New Castle, DE
• Providers in New Castle, DE by specialty
• Adult Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.