Omorogiuwa O Iguobadia, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

6188 Issued in GA

Practice address

107 Peacock Dr
Warner Robins, GA 31088-3637

Phone

(478) 922-3074

Fax

(478) 922-3076

NPI assigned

Jun 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: omorogiuwaiguobadia@lifeguardp.allscriptsdirect.net

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.

• Badia Medical, LLC

  • Pediatrics Physician
  • Warner Robins, GA
  • NPI 1679584601
  NPD (past) Authorized official
• Bright Impact Behavioral Practices

  • Behavior Analyst
  • Kathleen, GA
  • NPI 1558232116
  NPD
• Badia Medical, LLC

  • Family Medicine Physician
  • Cochran, GA
  • NPI 1144025784
  NPD (past)
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  NPD (past)

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1841639713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PEACOCK DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883637",
            "telephone_number": "478-922-3074",
            "fax_number": "478-922-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PEACOCK DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883637",
            "telephone_number": "478-922-3074",
            "fax_number": "478-922-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGUOBADIA",
        "first_name": "OMOROGIUWA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "6188",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "074772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003171301",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "OMOROGIUWAIGUOBADIA@LIFEGUARDP.ALLSCRIPTSDIRECT.NET",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 Peacock Dr",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310883637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nanette Hutson
• William Alexander Hvizdzak, PT, DPT
• Martha Christine Hyde
• Hypertension and Kidney Associates of Middle Georgia, LLC
• Roberto M. Icarro, M.D.
• Imaging Centers of Georgia, Inc.
• Impact Therapy of Georgia
• Infection Specialists of Middle Georgia, LLC
• Infectious Disease Clinic LLC
• Infinite Health Wellness LLC

• Pediatrics Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.