Active NPI
Osasere Cynthia Omorodion
- Prosthetics Case Management
- Alpharetta, GA
National Provider Identifier
1700437126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- CO123058
- Practice address
- 11080 Old Roswell Rd Ste 102
Alpharetta, GA 30009-4758 - Phone
- (678) 224-8779
- NPI assigned
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CO123058 | GA | Primary |
Addresses
Primary practice location
11080 Old Roswell Rd Ste 102
Alpharetta, GA 30009-4758
Mailing address
11080 Old Roswell Rd Ste 102
Alpharetta, GA 30009-4758
Phone (678) 224-8779
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO123058 | GA | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1700437126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11080 OLD ROSWELL RD STE 102",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300094758",
"telephone_number": "678-224-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11080 OLD ROSWELL RD STE 102",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300094758",
"telephone_number": "678-224-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMORODION",
"first_name": "OSASERE",
"middle_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": "CO123058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
- Julia Aguiar Oliveira
- Machala Abney Olson, PHARMD, RPH
- Omega Molecular Laboratories LLC
- Omega Professional Radiology Services of Georgia LLC
- Omni Virtual Health Care Inc
- On Point Nutrition, LLC
- One Journey Enterprise, LLC
- Nicole Lauren Onorato, MA, LPC, NCC
- Onpoint Performance and Physical Therapy
- Jessica Ontko Freeman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.