Organization Active NPI

Oladayo Osinuga MD PC

  • Internal Medicine Physician
  • Lithonia, GA
National Provider Identifier
1467581009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
051703 Issued in GA
Legal business name
OLADAYO OSINUGA MD PC
Practice address
4348 Klondike Road
Lithonia, GA 30038-4417
Phone
(770) 474-5470
Fax
(770) 474-4620
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Oladayo A Osinuga, MDNPI 1396716312
Title
Ceo Owner
Phone
(770) 474-5470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 051703 GA Primary

Addresses

Primary practice location

4348 Klondike Road
Lithonia, GA 30038-4417

Mailing address

4348 Klondike Road
Lithonia, GA 30038-4417
Phone (770) 474-5470

Other identifiers 1

IdentifierTypeStateIssuer
P00194327OtherGAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467581009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 KLONDIKE ROAD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300384417",
            "telephone_number": "770-474-5470",
            "fax_number": "770-474-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 KLONDIKE ROAD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300384417",
            "telephone_number": "770-474-5470",
            "fax_number": "770-474-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLADAYO OSINUGA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSINUGA",
        "authorized_official_first_name": "OLADAYO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "770-474-5470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00194327",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.