O&D Healthcare Center

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

O&D HEALTHCARE CENTER

Practice address

928 Long Manor Dr
Middle River, MD 21220-1700

Phone

(443) 882-5557

NPI assigned

Jul 14, 2023

Organization subpart

No

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

Authorized official

Name

Delphine E IkpasajaNPI 1255983789

Title

Owner

Phone

(443) 882-5557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Delphine E Ikpasaja

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle River, MD
  • NPI 1255983789
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1467131680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 LONG MANOR DR",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201700",
            "telephone_number": "443-882-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 LONG MANOR DR",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201700",
            "telephone_number": "443-882-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O&D HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "IKPASAJA",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-882-5557"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Middle River, MD
• Providers in Middle River, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.