Ngozi Odoh, PHD, APRN,GNP,ANP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP2805762 Issued in FL

Practice address

7620 Lake Underhill Rd
Orlando, FL 32822-8223

Phone

(321) 235-0692

Fax

(321) 235-0694

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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, Doctor of Philosophy

Practice roles

Interoperability endpoints

• Direct secure messaging: nodoh183709@adventhealth.direct-ci.com

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.

• Mark a. Bobek M.D., PA

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1932186137
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1376520577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 TAYLOR AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064474",
            "telephone_number": "407-754-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228223",
            "telephone_number": "321-235-0692",
            "fax_number": "321-235-0694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "985 State Road 436",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327075664",
            "country_code": "US",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOH",
        "first_name": "NGOZI",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN,GNP,ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP2805762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306161200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita S. Odaiyar
• Odb Health, Inc.
• Theodore Odem Jr.
• Jessica Odermatt
• Michelle N Odita, MD
• Catherine Cecelia Odom
• Makisha Odom, CPLD, CBE
• Daniel Miguya Odongo, PHARMD
• Jessica Odum, DO
• Lesli Odum

• Gerontology Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.