Bosede Ibovbohi Ojo, MD, DC
Individual provider Active NPI Psychiatry Physician · Chattahoochee, FL
NPI 1770634271 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1770634271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- ME151845 (FL)
- Practice address
- PO Box 1000
Chattahoochee, FL 32324-1000 - Phone
- (832) 289-7522
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240909002592 | FL | Practitioner - Psychiatry |
2264972942 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Children and Families | Current |
Accepting new patients | |
| Florida Department of Children and Families | Current |
Accepting new patients | |
| Florida Department of Children and Families | Current |
Accepting new patients |
Locations
100 N Main St
Bldg 1028
Chattahoochee, FL 32324
Phone (904) 330-2215
100 N Main St
Chattahoochee, FL 32324
Phone (850) 663-7001
7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME151845 | FL | Yes |
Addresses
Primary practice location
PO Box 1000
Chattahoochee, FL 32324-1000
Mailing address
PO Box 1000
Chattahoochee, FL 32324-1000
Phone (850) 793-6317
Other practice location 1
1940 Harrison Ave
Panama City, FL 32405-4542
Phone (850) 763-0017
Other providers in Chattahoochee, FL
- Tuong T Nguyen
- Melanie Marie Niehus
- North Florida Counseling Center
- North Florida Rural Health Corp
- North Florida Rural Health Corp
- Mimi Okazaki
- Organization of Bussinessmen
- Lindsay Owings
- Paradise Oasis LLC
- Paradise Oasis LLC
All providers in Chattahoochee, FL · Psychiatry Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.