Active NPI
Oboma Steve Asemota, M.D.
- General Practice Physician
- MC Gehee, AR
National Provider Identifier
1700878634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- R4419
- Practice address
- 206 S 1St St
MC Gehee, AR 71654-2339 - Phone
- (870) 222-3644
- Fax
- (870) 222-3682
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
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 | R4419 | AR | |
| General Practice Physician | 208D00000X | R4419 | AR | Primary |
Addresses
Primary practice location
206 S 1St St
MC Gehee, AR 71654-2339
Mailing address
PO Box 725
Dumas, AR 71639-0725
Phone (870) 382-4220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122216001 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4419 | AR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Correct Care, Inc. | Past | Accepting new patients | |
| Chicot Memorial Hospital | Past | Accepting new patients | |
| Delta Memorial Hospital | Past | Accepting new patients | |
| De Queen Medical Center Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Lake Village, AR
- NPI 1497701973
-
- Critical Access Hospital
- De Queen, AR
- NPI 1154423523
-
- Clinic/Center
- Dumas, AR
- NPI 1083439012
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1215987441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1700878634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "DUMAS",
"state": "AR",
"postal_code": "716390725",
"telephone_number": "870-382-4220",
"fax_number": "870-382-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S 1ST ST",
"city": "MC GEHEE",
"state": "AR",
"postal_code": "716542339",
"telephone_number": "870-222-3644",
"fax_number": "870-222-3682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASEMOTA",
"first_name": "OBOMA",
"middle_name": "STEVE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "R4419",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AR",
"license": "R4419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122216001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in MC Gehee, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.