Serah O Ogun, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q0328 Issued in TX

Practice address

1421 N Highway 67 Ste 200
Cedar Hill, TX 75104-4019

Phone

(469) 251-2850

NPI assigned

May 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1457611709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N HIGHWAY 67 STE 200",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751044019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N HIGHWAY 67 STE 200",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751044019",
            "telephone_number": "469-251-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Ovilla Rd",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "751543833",
            "country_code": "US",
            "telephone_number": "469-800-9200",
            "fax_number": "469-800-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUN",
        "first_name": "SERAH",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP1-0044180",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah Obioha
• Love Ebere Odoemena
• Ehikioya Anthony Ofeinmun, PMHNP
• Francis C Ogbonna
• Joy Ogujiofor, MEDICAL ASSISTANT
• Omobola Felicia Ojediran, LCSW
• Temitope Ojo, MSN, APRN, FNP-C
• Victoria Sandra Oka
• John Olanrewaju Olaleye, NP
• Charles O Olisa, MD

• Family Medicine Physician in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.