Cheliz Ojeda, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5017

Practice address

403 Woodchase Way
Woodstock, GA 30188-2052

Phone

(678) 956-1272

NPI assigned

Dec 2, 2018

Reactivated

Apr 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1801366943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WOODCHASE WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882052",
            "telephone_number": "678-956-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WOODCHASE WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882052",
            "telephone_number": "678-956-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Northside Cherokee Blvd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "30115",
            "country_code": "US",
            "telephone_number": "770-224-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJEDA",
        "first_name": "CHELIZ",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-02",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "deactivation_date": "2018-12-02",
        "reactivation_date": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "5017",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Obrien
• Richardson Michael Odum, D.M.D.
• Amartha Ezinne Ogburu, NP
• Beatriz Oh, RBT
• Beatrix Ohienmhen, MD
• Angela M Ojibway, DDS
• Olufunmilayo Esther Olaosebikan
• Diedra Olin, PT
• Randy Olinger, FNP
• Madeline Olson, DPT

• Surgical Physician Assistant in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.