Individual provider Active NPI

Valentine Ekule Ojong

  • Exclusive Provider Organization
  • Erie, PA
National Provider Identifier
1538610977
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
81-4038745 Issued in PA
Practice address
4173 Wood Hills Dr
Erie, PA 16510
Phone
(513) 307-3010
NPI assigned
Oct 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 81-4038745 PA Primary

Addresses

Primary practice location

4173 Wood Hills Dr
Erie, PA 16510

Mailing address

4173 Wood Hills Dr
Erie, PA 16510-3473
Phone (513) 307-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
81-4038745PAMDExclusive Provider Organization

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1538610977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 WOOD HILLS DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103473",
            "telephone_number": "513-307-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4173 WOOD HILLS DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16510",
            "telephone_number": "513-307-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJONG",
        "first_name": "VALENTINE",
        "middle_name": "EKULE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PA",
            "license": "81-4038745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.