Lisa Nwakego Ogbonna

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

2206 Wildwood Crossings
Birmingham, AL 35211-4494

Phone

(256) 684-4656

NPI assigned

Jun 26, 2022

Last updated

Jun 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: lisa.ogbonna.p1@direct.hopehealthtx.nextgenshare.com
• Direct secure messaging: lisa.ogbonna.p1@direct.ntachc.nextgenshare.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.

• North Texas Area Community Health Centers, Inc.

  dba Northside Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fort Worth, TX
  • NPI 1568420800
  Medicare reassignment
• North Texas Area Community Health Centers, Inc

  dba North Texas Area Community Health Centers Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1417438243
  NPD
• Southwest Texas Two Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1659950475

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1548992944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 WILDWOOD CROSSINGS",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352114494",
            "telephone_number": "256-684-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 WILDWOOD CROSSINGS",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352114494",
            "telephone_number": "256-684-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONNA",
        "first_name": "LISA",
        "middle_name": "NWAKEGO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa1228@uab.edu",
            "affiliation": "N",
            "address_1": "2206 Wildwood Crossings",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352114494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Oestreich
• John B Oettinger, D.M.D.
• Malika Offord
• Emmanuel Ofosu, MD
• Omosefe Ogbeifun, MD
• Chizitaram Vanessa Ogbuji, MD
• Caroline Ogburn Taylor, LPC
• Ngozi Bridget Ogburu-Ogbonnaya, MD, MS
• Melissa Ann Ogle, MS,PT
• Nicole Lyn Ogle, RN

• Medical Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2022; 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.