NPIMap

Individual provider Active NPI

Nneoma Norma Jeanine Ogbonna, MD

  • Family Medicine Physician
  • Youngstown, OH
National Provider Identifier
1417452483
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1124115878 Issued in OH
Practice address
500 Gypsy LN
Youngstown, OH 44504-1315
Phone
(330) 884-3983
NPI assigned
Mar 29, 2018
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1124115878 OH Primary

Addresses

Primary practice location

500 Gypsy LN
Youngstown, OH 44504-1315

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

7401 Granby St
Norfolk, VA 23505-3406
Phone (757) 355-9925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210719003431 OH Practitioner - Family Practice 1456616846 Reassigns benefits to 1 organization
I20260224002591 VA Practitioner - Family Practice 1456616846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

7401 Granby St
Norfolk, VA 23505-3406
Phone (757) 388-9925

75 Washington Blvd
Suite 103
Kenton, OH 43326-4001
Phone (614) 788-2713

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1124115878OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Family Medicine CurrentSince Jan 10, 2026 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2021 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Sentara Medical Group PastSince Jan 10, 2026 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

75 Washington Blvd
Ste 103
Kenton, OH 43326
Phone (419) 673-8689

7401 Granby St
Norfolk, VA 23505
Phone (757) 355-9925

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1417452483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-3983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Granby St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235053406",
            "country_code": "US",
            "telephone_number": "757-355-9925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBONNA",
        "first_name": "NNEOMA NORMA",
        "middle_name": "JEANINE",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "1124115878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.