Individual provider Active NPI

Ogbouma Oke Ulofoshio

  • Case Manager/Care Coordinator
  • Anchorage, AK
National Provider Identifier
1396985008
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
433132 Issued in AK
Practice address
240 E Tudor Rd Ste 100
Anchorage, AK 99503-7244
Phone
(907) 334-3050
Fax
(907) 334-3058
NPI assigned
Feb 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 433132 AK Primary

Addresses

Primary practice location

240 E Tudor Rd Ste 100
Anchorage, AK 99503-7244

Mailing address

240 E Tudor Rd Ste 100
Anchorage, AK 99503-7244
Phone (907) 334-3050

Other names 1

  • Mr. Ogbouma Oke Ulofoshio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
433132AKMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1396985008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E TUDOR RD STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037244",
            "telephone_number": "907-334-3050",
            "fax_number": "907-334-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E TUDOR RD STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037244",
            "telephone_number": "907-334-3050",
            "fax_number": "907-334-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULOFOSHIO",
        "first_name": "OGBOUMA",
        "middle_name": "OKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "433132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OGBOUMA",
            "last_name": "ULOFOSHIO",
            "middle_name": "OKE",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.