Bassey Ujah Omoji, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

0101051867 Issued in VA

Practice address

140 Piney Forest Rd Ste B
Danville, VA 24540-4169

Phone

(434) 793-7745

Fax

(434) 793-7805

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467463760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PINEY FOREST RD STE B",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404169",
            "telephone_number": "434-793-7745",
            "fax_number": "434-793-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PINEY FOREST RD STE B",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404169",
            "telephone_number": "434-793-7745",
            "fax_number": "434-793-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOJI",
        "first_name": "BASSEY",
        "middle_name": "UJAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101051867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "035675",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-0614I",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "46211",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Olalekan I. Okunuga, DDS, P.C.
• Lisa L Onega, NP
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• Veronica Onsurez-Pannell, LPC VA AND TX
• Openwater Transportation LLC
• Optimal Outcomes Inc

• Pediatric Adolescent Medicine Physician in Danville, VA
• Providers in Danville, VA by specialty
• Pediatric Adolescent Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.