Arif Omar, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

32517 Issued in KY

Practice address

1 Medical Center Dr
Louis a Johnson Vamc
Clarksburg, WV 26301-0066

Phone

(304) 623-3461

Fax

(304) 326-7966

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Wolfe County Clinics

  • Cardiovascular Disease Physician
  • Jackson, KY
  • NPI 1336375294
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1760448039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263020066",
            "telephone_number": "859-779-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "LOUIS A JOHNSON VAMC",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263010066",
            "telephone_number": "304-623-3461",
            "fax_number": "304-326-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "ARIF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "32517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64325178",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Odell
• Quadeshia A Ogletree
• Amber Nicole Oldaker
• Barbara L Oldaker
• Mario A Oliverio
• Mark Gregory Ortiz, D.D.S.
• Brianna Hope Owens
• Linda Paknik
• Marlena Palmer
• Maryann Pancake, MSW

• Cardiovascular Disease Physician in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Cardiovascular Disease Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.