Oh Susannah

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

N/A

Legal business name

OH SUSANNAH

Doing business as

Physician Choice

Practice address

1100 NW Loop 410
Suite 700
San Antonio, TX 78213-2263

Phone

(210) 386-2296

Fax

(210) 828-3698

NPI assigned

Dec 29, 2008

Organization subpart

Yes

Parent organization

OH SUSANNAH LLCAs reported in NPPES

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

Authorized official

Name

Ms. Susan L. Moreland, N/A

Title

Member

Phone

(210) 386-2296

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physician Choice Doing business as

Tax ID family

Oh Susannah3 organizations share this tax ID, including this one

Part of

Oh Susannah

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Oh Susannah

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
  • NPI 1659518074
  NPD tax ID
• Oh Susannah LLC

  dba dba PHYSICIAN CHOICE; dba Pink Ribbon Mastectomy Services

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1518073048
  NPD tax ID

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1689810434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SKIPPER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167446",
            "telephone_number": "210-386-2296",
            "fax_number": "210-828-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410",
            "address_2": "SUITE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132263",
            "telephone_number": "210-386-2296",
            "fax_number": "210-828-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH SUSANNAH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OH SUSANNAH LLC",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-386-2296",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181471702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Choice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oluwayemisi Abimbola Ogunfeitimi
• Tejumade Oguntodu
• Olabode C. Ogunwole, M.D.
• Amarachi R Ogwu Chinuwa
• Oh Susannah
• Oh Susannah LLC (dba PHYSICIAN CHOICE; dba Pink Ribbon Mastectomy Services)
• Hyelin Oh, MD
• Jennifer N Oh, DMD
• Jenny Juyung Oh, DDS, MS
• Jeong Eun Oh, FNP

• Prosthetic/Orthotic Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.