Active NPI
Nwosu Osaro Ngofa, M.D.
- Surgery Physician
- Morgan City, LA
National Provider Identifier
1609987601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD.201984
- Practice address
- 1300 Lakewood Dr Ste a
Morgan City, LA 70380-1866 - Phone
- (985) 519-6744
- Fax
- (985) 384-0899
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M3821 | TX | |
| Surgery Physician | 208600000X | MD.201984 | LA | Primary |
Addresses
Primary practice location
1300 Lakewood Dr Ste a
Morgan City, LA 70380-1866
Mailing address
1300 Lakewood Dr Ste a
P.O. Box 1898
Morgan City, LA 70380-1866
Phone (985) 519-6744
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.201984 | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milten Clinic Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Brookshire, TX
- NPI 1285667436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1609987601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 LAKEWOOD DR STE A",
"address_2": "P.O. BOX 1898",
"city": "MORGAN CITY",
"state": "LA",
"postal_code": "703801866",
"telephone_number": "985-519-6744",
"fax_number": "985-384-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 LAKEWOOD DR STE A",
"city": "MORGAN CITY",
"state": "LA",
"postal_code": "703801866",
"telephone_number": "985-519-6744",
"fax_number": "985-384-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGOFA",
"first_name": "NWOSU",
"middle_name": "OSARO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "M3821",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "MD.201984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgan City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.