Individual provider Active NPI

Elijah Oppong, RN

  • Registered Nurse
  • Fairfield, OH
National Provider Identifier
1831531292
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.456374 Issued in OH
Practice address
3983 Woodridge Blvd Apt 9
Fairfield, OH 45014-8507
Phone
(513) 264-2923
Fax
(513) 223-5348
NPI assigned
Jul 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN153016MIV OH
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN.456374 OH Primary

Addresses

Primary practice location

3983 Woodridge Blvd Apt 9
Fairfield, OH 45014-8507

Mailing address

3983 Woodridge Blvd Apt 9
Fairfield, OH 45014-8507
Phone (513) 264-2923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.456374OHMDRegistered Nurse
PN153016MIVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Xcite Healthcare Services LLC Registered Nurse Current Accepting new patients
Atascocita Seniors Care Home Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1831531292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 WOODRIDGE BLVD APT 9",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148507",
            "telephone_number": "513-264-2923",
            "fax_number": "513-223-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 WOODRIDGE BLVD APT 9",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148507",
            "telephone_number": "513-264-2923",
            "fax_number": "513-223-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPONG",
        "first_name": "ELIJAH",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN153016MIV",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.456374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.