Individual provider Active NPI

Charity Mamaa Ogunro, MD

  • Orthopaedic Hand Surgery Physician
  • Dallas, TX
National Provider Identifier
1841596772
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
P8169 Issued in TX
Practice address
3670 W Wheatland Rd
Dallas, TX 75237-3462
Phone
(972) 296-3875
Fax
(972) 296-3575
NPI assigned
Feb 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X P8169 TX Primary

Addresses

Primary practice location

3670 W Wheatland Rd
Dallas, TX 75237-3462

Mailing address

3670 W Wheatland Rd
Dallas, TX 75237-3462
Phone (972) 296-3875

Other practice location 1

3450 W Wheatland Rd
POB II Suite 430
Dallas, TX 75237-3470
Phone (972) 296-3875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150723007402 TX Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 0345553053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3670 W Wheatland Rd
Dallas, TX 75237-3462

Hospital & facility affiliations

  • Crescent Medical Center Lancaster Hospital, Lancaster, TX, CCN 670090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
C Folashade Ogunro MD PA Hand Surgery CurrentSince Apr 5, 2015 Accepting new patients

Locations

3450 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-7777

3670 W Wheatland Rd
Dallas, TX 75237
Phone (972) 269-3875

3450 W Wheatland Rd
Ste 430
Dallas, TX 75237
Phone (214) 942-3740

2800 E Broad St
Ste 318
Mansfield, TX 76063
Phone (214) 946-9898

Interoperability endpoints

  • Direct secure messaging: charity.ogunro.1@13131.direct.athenahealth.com
  • Direct secure messaging: sxo103pcs1787@primeclinicalsystems.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1841596772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373462",
            "telephone_number": "972-296-3875",
            "fax_number": "972-296-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373462",
            "telephone_number": "972-296-3875",
            "fax_number": "972-296-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 W Wheatland Rd",
            "address_2": "POB II Suite 430",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752373470",
            "country_code": "US",
            "telephone_number": "972-296-3875",
            "fax_number": "972-296-3575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNRO",
        "first_name": "CHARITY",
        "middle_name": "MAMAA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "P8169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.