Fode Jude Ogaga

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9289140 Issued in FL

Practice address

520 Falkenburg Rd
Tampa, FL 33619

Phone

(813) 247-8300

NPI assigned

Jul 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mr. Fode Kaba Sylla Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1447633771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953935",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327953935",
            "telephone_number": "407-732-7957",
            "fax_number": "407-732-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FALKENBURG RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33619",
            "telephone_number": "813-247-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGAGA",
        "first_name": "FODE",
        "middle_name": "JUDE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "9289140",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9289140",
            "primary": true
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "FL",
            "license": "9289140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ARNP 9289140",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FODE",
            "last_name": "SYLLA",
            "middle_name": "KABA",
            "prefix": "MR.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Oeckinghaus, LCGC
• Richard Lawrence Oehler, M.D.
• Rachel Oestreich, M.A.
• Robyn Renee Oeth, MA, OTR/L
• Ariel Asia Offutt, MD
• Cassandra Ogla
• Claire C Oglander, MSW, LCSW
• Onyii Cynthia Oguine
• Samuel Chigozie Oguine
• Olanrewaju Adebusuyi Ogunleye

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.