Babatunde Onimago-Ishiaka, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0110003560 Issued in VA

Practice address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone

(716) 239-3983

NPI assigned

Nov 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1669774915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIRCLE",
            "address_2": "NMCP GENERAL SURGERY DEPARTMENT",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "716-239-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "716-239-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONIMAGO-ISHIAKA",
        "first_name": "BABATUNDE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110003560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Omega Ong, CRNA
• Soon Chao S Ong, M.D.
• Richard-Fils Onguene Onguene, CRNA
• Lawal Onike, CRNA
• Oluwaseyi Bamidele Oniku
• Mildred Onime, ANP
• Olubukola Onimisi, DDS
• Nancy Suzanne Onisko, D.O.
• Only the Strong Survive Assisted Living
• Mariko Ono, PHARM.D.

• Surgical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.