NPIMap

Organization Active NPI

Liberty Express Care, Inc.

  • Emergency Medicine Physician
  • Saginaw, MI
National Provider Identifier
1508066036
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101013295 Issued in MI
Legal business name
LIBERTY EXPRESS CARE, INC.
Practice address
1104 Janes Ave
Suite 320
Saginaw, MI 48607-1683
Phone
(989) 752-0263
Fax
(989) 752-3556
NPI assigned
Jul 23, 2007
Last updated
Aug 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. Chidozie Joshua Ononuju, D.O.NPI 1316984750
Title
Owner
Phone
(989) 752-0706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 5101013295 MI Primary

Addresses

Primary practice location

1104 Janes Ave
Suite 320
Saginaw, MI 48607-1683

Mailing address

1320 N Michigan Ave
Suite 2
Saginaw, MI 48602-4751
Phone (989) 752-0706

Other identifiers 4

IdentifierTypeStateIssuer
01008499OtherMIHEALTHPLUS
700G312590OtherMIBLUE CROSS BLUE SHIELD
5207776MedicaidMI
5207794MedicaidMI

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1508066036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N MICHIGAN AVE",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024751",
            "telephone_number": "989-752-0706",
            "fax_number": "989-752-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 JANES AVE",
            "address_2": "SUITE 320",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071683",
            "telephone_number": "989-752-0263",
            "fax_number": "989-752-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY EXPRESS CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "ONONUJU",
        "authorized_official_first_name": "CHIDOZIE",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-752-0706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101013295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "01008499",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "700G312590",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5207776",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5207794",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.