Chiedozie Max Ofoma, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01092806A Issued in IN

Practice address

121 Buntin St
Vincennes, IN 47591-1320

Phone

(812) 885-3228

NPI assigned

Jun 8, 2022

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Male

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cofoma598669@prddirect.texaschildrens.org
• Direct secure messaging: ochiedozie231583@direct.deaconess.com

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.

• Daviess County Hospital

  dba Daviess County Hospital Physicians

  • General Acute Care Hospital
  • Washington, IN
  • NPI 1619154820
  Medicare reassignment NPD
• Deaconess Hospital, Inc

  dba Deaconess Care Group

  • Hospitalist Physician
  • Evansville, IN
  • NPI 1427097443
  Medicare reassignment NPD
• Daviess County Hospital

  dba Daviess Community Hospital Orthopaedics

  • Orthopaedic Surgery Physician
  • Washington, IN
  • NPI 1083915326
  NPD
• Daviess County Hospital

  dba Daviess Community Hospital Montgomery Medical Clinic

  • Rural Health Clinic/Center
  • Montgomery, IN
  • NPI 1336959279
  NPD
• Deaconess Hospital Inc

  • Mental Health Counselor
  • Evansville, IN
  • NPI 1508723552

  Psychiatry

  NPD
• Deaconess Hospital, Inc

  dba Deaconess Cross Pointe

  • Psychiatry Physician
  • Evansville, IN
  • NPI 1497862486
  NPD

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1467181933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 CROSS RAIL LN",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603942",
            "telephone_number": "951-310-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BUNTIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911320",
            "telephone_number": "812-885-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOMA",
        "first_name": "CHIEDOZIE",
        "middle_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01092806A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northside Pharmacy Inc (North Side Pharmacy)
• Kevin Edward Nowakowski, MD
• Thomas Patrick O'Rourke, M.D.
• Tara Lynn Oakley, LSW
• Patricia B Ochs, NP-C
• Katherine Ohanlon
• Elizabeth Diane Oliver, M.S.-CCC-SLP
• Glen Ehicheoya Oriaifo, MD
• Ourhealth Physicians Group, LLC (FIA Family Health Center)
• Melissa A Overton, PA-C

• Psychiatry Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.