Lookmon Omisola, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

13382 Marigold TRL
Belton, TX 76513-6957

Phone

(210) 262-9864

NPI assigned

Dec 17, 2014

Sex

Male

Sole proprietor

Yes

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 TX

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

Physician Assistant

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.

• Curana Health Medical Group LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1255640678
  Medicare reassignment

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1407254857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13382 MARIGOLD TRL",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765136957",
            "telephone_number": "210-262-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13382 MARIGOLD TRL",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765136957",
            "telephone_number": "210-262-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMISOLA",
        "first_name": "LOOKMON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Novak, M.D.
• Lindsey O'Neill, MSN, APRN, PMHNP-BC
• Miles Allan O'Neill
• Joshua Wayne Ogden, ATC, LAT
• Teresa Kay Oldham, LCSW
• On Point Medical Services
• Opening Gaits Pediatric Center, PLLC
• Jennifer Ordonez, MS, CCC-SLP
• Orenda Education
• Aldo Ortiz

• Physician Assistant in Belton, TX
• Providers in Belton, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.