Osatohanwen Temisaren Osakue, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101267777 Issued in VA

Practice address

500 Gypsy LN
Youngstown, OH 44504-1315

Phone

(330) 884-0795

Fax

(330) 884-0651

NPI assigned

May 13, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinch Valley Physicians Associates LLC 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

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.

• Clinch Valley Physicians Associates LLC

  • Cardiovascular Disease Physician
  • Richlands, VA
  • NPI 1104265214

  Multi-Specialty, VA

  Medicare reassignment Care Compare group NPD
• Clinch Valley Physicians Associates LLC

  • Rural Health Clinic/Center
  • Cedar Bluff, VA
  • NPI 1821339540
  Care Compare group NPD
• Clinch Valley Physicians Inc

  • Clinical Medical Laboratory
  • Richlands, VA
  • NPI 1669454781
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clinch Valley Medical Center Inc.

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1821476680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-0795",
            "fax_number": "330-884-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-0795",
            "fax_number": "330-884-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAKUE",
        "first_name": "OSATOHANWEN",
        "middle_name": "TEMISAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101267777",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella A Ortin D Lacoste, MD
• Amber Lanae Louise Ortiz
• Angel Ortiz Jr.
• David George Ortiz
• Julian Enrique Ortiz, DO
• Karlee Ann Osborne, RBT
• Oyidiya Afonne Osoka, MD
• Rebekah Michelle Ostrode
• Otolaryngology Head & Neck Consultants, P.C.
• George Louis Otto, MSW

• All providers in Youngstown, OH
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.