Aida Ong Obusan, MD,FAAP

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

0101056016 Issued in VA

Practice address

325 Charles H Dimmock Pkwy
Suite 600
Colonial Heights, VA 23834-2986

Phone

(804) 518-3288

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7668/brand/1/csg/1/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.

• Yu Pediatrics PC

  • Pediatrics Physician
  • Colonial Heights, VA
  • NPI 1861818361
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1831160068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CHARLES H DIMMOCK PKWY",
            "address_2": "SUITE 600",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342986",
            "telephone_number": "804-518-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CHARLES H DIMMOCK PKWY",
            "address_2": "SUITE 600",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342986",
            "telephone_number": "804-518-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBUSAN",
        "first_name": "AIDA",
        "middle_name": "ONG",
        "credential": "MD,FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101056016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rekha Nugaram, M.D.,
• Victor Toochukwu Nwagwu
• Ugonma Christiana Nwaohuocha, O.D
• Jessy A Nwuba, DNP, FNP-BC
• Stephanie S O'Connor, NP
• Noel Feminella Ockaili, PHARM.D.
• Ellen Rives Oertel, D.D.S., M.S.
• Onyinyechukwu Okoli, APRN
• Nancy A. Okoth-Shaw, APRN, FNP-C
• Chidinma Blessing Okwueze

• Pediatric Adolescent Medicine Physician in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Pediatric Adolescent Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.