Individual provider Active NPI

Oboma Steve Asemota, M.D.

  • General Practice Physician
  • MC Gehee, AR
National Provider Identifier
1700878634
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R4419 Issued in AR
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

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
122216001MedicaidAR

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

LicenseStateTypeSpecialty
R4419ARMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Past Accepting new patients
Chicot Memorial Hospital Past Accepting new patients
Delta Memorial Hospital PastSince Apr 30, 2003 Accepting new patients
De Queen Medical Center Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.