Oduah Daniel Osaro, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31351 Issued in IA

Practice address

108 S 4TH St
Clinton, IA 52732-4425

Phone

(563) 241-1239

Fax

(563) 241-1243

NPI assigned

Jul 6, 2005

Last updated

Feb 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFGIBD/Endpoint/EFGIBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinton Urgent Care PLC

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1346356466
  Authorized official Same address or phone
• Heritage Emergency Physicians

  • Emergency Medicine Physician
  • Clinton, IA
  • NPI 1265620819
  NPD (past)
• Jackson County Public Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maquoketa, IA
  • NPI 1689705949
  NPD (past)

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1821095787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324425",
            "telephone_number": "563-241-1239",
            "fax_number": "563-241-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324425",
            "telephone_number": "563-241-1239",
            "fax_number": "563-241-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSARO",
        "first_name": "ODUAH",
        "middle_name": "DANIEL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IA",
            "license": "31351",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "IA",
            "license": "31351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "31351",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IA",
            "license": "31351",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "IA",
            "license": "31351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "31351",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINTON URGENT CARE P.L.C MEDICARE NUMBER",
            "identifier": "I12915",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODUAH OSARO M.D;MEDICARE NUMBER",
            "identifier": "I13066",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9139113",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• On the Mend Counseling, LLC
• Opco Clinton, Ia, LLC (Eagle Point Health Care Center)
• Ora Orthopedics PC
• Ora Orthopedics, PC
• Orthoapaedic Specialists PC
• Melissa Outzen
• Emily Pacha
• Evelyn M Palm, LMHC
• Brittani A Pappas
• Douglas Timothy Parker, RPH

• Family Medicine Physician in Clinton, IA
• Providers in Clinton, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.