NPIMap

Individual provider Active NPI

Hezekiah George Owojuyigbe, M.D, M.P.H.

  • General Practice Physician
  • Palatka, FL
National Provider Identifier
1588043350
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN 746 Issued in FL
Practice address
1302 River St
Palatka, FL 32177-5042
Phone
(386) 328-8371
Fax
(386) 325-1086
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13606I PR
General Practice Physician 208D00000X 19,119 PR
General Practice Physician 208D00000X ACN 746 FL Primary

Addresses

Primary practice location

1302 River St
Palatka, FL 32177-5042

Mailing address

1302 River St
Palatka, FL 32177-5042
Phone (386) 328-8371

Other practice location 1

201 W. Lattin Street
Hastings, FL 32145-4111
Phone (904) 692-1508

Other names 1

  • Dr. George Owo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025001269 FL Practitioner - General Practice 8820341670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care Incorporated 29 clinicians

Practice addresses (Care Compare)

1302 River St
Palatka, FL 32177-5042
Phone (386) 328-8371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN 746FLMDGeneral Practice Physician
13606IPRMDGeneral Practice Physician
19,119PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care, Incorporated CurrentSince Oct 8, 2018 Accepting new patients
Rural Health Care, Inc. CurrentSince Oct 8, 2018 Accepting new patients
Rural Health Care Incorporated General Practice Current Accepting new patients

Locations

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

Interoperability endpoints

  • Direct secure messaging: george.owojuyigbe.p1@direct.azahealth.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1588043350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-8371",
            "fax_number": "386-325-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-8371",
            "fax_number": "386-325-1086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W. Lattin Street",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "FL",
            "postal_code": "321454111",
            "country_code": "US",
            "telephone_number": "904-692-1508",
            "fax_number": "904-692-1509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWOJUYIGBE",
        "first_name": "HEZEKIAH",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D, M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13606I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19,119",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN 746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "OWO",
            "prefix": "DR.",
            "credential": "M.D, M.P.H.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.