Onmo LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42980 Issued in AZ

Legal business name

ONMO LLC

Practice address

1939 Frontage Rd
Suite G
Sierra Vista, AZ 85635-4638

Phone

(520) 458-4648

Fax

(520) 459-7945

NPI assigned

Jul 28, 2010

Last updated

Jul 29, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

RAPHA MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Augustine O Bosah, MD

Title

Manager

Phone

(520) 458-4648

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Onmo LLC

Locations

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1750695094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 FRONTAGE RD",
            "address_2": "SUITE G",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354638",
            "telephone_number": "520-458-4648",
            "fax_number": "520-459-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 FRONTAGE RD",
            "address_2": "SUITE G",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354638",
            "telephone_number": "520-458-4648",
            "fax_number": "520-459-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONMO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAPHA MEDICAL CENTER",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "BOSAH",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-458-4648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "42980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1588794192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Anne Nuttall
• Christine Anne O'Toole, LCSW
• Gary F Oberg
• Sarah Ochoa, LPC
• Heather Larae Olmos
• Douglas Daniel Opie, D.O.
• Jessica Orozco, NP
• Jennifer Ortiz, PTA
• Alan K. Osumi, MD
• Jessica Osuna

• Internal Medicine Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.