NPIMap

Organization Active NPI

Dr Osh and Associates Foot and Leg Clinic, PC

  • Podiatrist
  • Milledgeville, GA
National Provider Identifier
1386964872
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001117 Issued in GA
Legal business name
DR OSH AND ASSOCIATES FOOT AND LEG CLINIC, PC
Practice address
2955 N Columbia St
Milledgeville, GA 31061-8795
Phone
(478) 453-1085
Fax
(478) 453-1086
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Evaristus I Oshiokpekhai, DPMNPI 1053325480
Title
President/Ceo
Phone
(478) 328-6466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X POD001117 GA Primary

Addresses

Primary practice location

2955 N Columbia St
Milledgeville, GA 31061-8795

Mailing address

105 Wexford Cir
Bonaire, GA 31005-4734
Phone (478) 328-6466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000146 GA Part B Supplier - Clinic/Group Practice 9931162625 Receives reassigned benefits from 1 practitioner
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warner Robins, GA; Milledgeville, GA; Macon, GA; Fort Valley, GA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Osh and Associates PC Foot3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1030 Peach Pkwy
Ste 1
Fort Valley, GA 31030
Phone (478) 822-9088

940 Pio Nono Ave
Macon, GA 31204
Phone (478) 738-9944

2955 N Columbia St
Milledgeville, GA 31061
Phone (478) 453-1085

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1386964872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEXFORD CIR",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310054734",
            "telephone_number": "478-328-6466",
            "fax_number": "478-328-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 N COLUMBIA ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618795",
            "telephone_number": "478-453-1085",
            "fax_number": "478-453-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR OSH AND ASSOCIATES FOOT AND LEG CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "OSHIOKPEKHAI",
        "authorized_official_first_name": "EVARISTUS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "478-328-6466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.