Individual provider Active NPI

Enovwo Eloho Ohwofahworaye, PHARMD, DO

  • Internal Medicine Physician
  • Logan, OH
National Provider Identifier
1841574332
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.013090 Issued in OH
Practice address
1383 W Hunter St
Logan, OH 43138-1013
Phone
(740) 385-0202
NPI assigned
Oct 4, 2011
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03226174 OH
Internal Medicine Physician 207R00000X 34.013090 OH Primary
Internal Medicine Physician 207R00000X AP2282058A49 OH

Addresses

Primary practice location

1383 W Hunter St
Logan, OH 43138-1013

Mailing address

1383 W Hunter St
Logan, OH 43138-1013
Phone (740) 385-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20190716003696 OH Practitioner - Internal MedicinePractitioner - Hospitalist 3678869013 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hocking Valley Medical Group, Inc.Group PAC ID 0345238622, 21 clinicians

Practice addresses (Care Compare)

1383 W Hunter St
Logan, OH 43138-1013
Phone (740) 385-0202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.83 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
74.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03226174OHMDPharmacist
34.013090OHMDInternal Medicine Physician
AP2282058A49OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hocking Valley Community Hospital CurrentSince Jun 17, 2025 Accepting new patients
Hocking Valley Medical Group Transportation CurrentSince Jun 17, 2025 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Hocking Valley Medical Group, Inc. CurrentSince Jun 17, 2025 Accepting new patients
Hocking Valley Community Hospital CurrentSince Jun 17, 2025 Accepting new patients
Adena Health System Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

1383 W Hunter St
Logan, OH 43138
Phone (740) 385-0202

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1841574332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 W HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381013",
            "telephone_number": "740-385-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 W HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381013",
            "telephone_number": "740-385-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHWOFAHWORAYE",
        "first_name": "ENOVWO",
        "middle_name": "ELOHO",
        "name_prefix": "Dr.",
        "credential": "PHARMD, DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03226174",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.013090",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "AP2282058A49",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.