Ogedi Omenyinma

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

4198 Issued in KY

Practice address

2807 Valhalla CT
Louisville, KY 40242-2402

Phone

(502) 442-6877

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1841795317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 VALHALLA CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402422402",
            "telephone_number": "502-442-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 VALHALLA CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402422402",
            "telephone_number": "502-442-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMENYINMA",
        "first_name": "OGEDI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": "4198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Olson, OT
• Maria-Amabelle Olvera
• Aisha J Omar, MS
• Rashid Omar, OD
• Rawhi Omar, MD, PHD
• Endashaw Mahmud Omer, MD
• Omni Community Public Health and Wellness Center
• Omni Family of Services Kentucky, Inc.
• Omni Resource Services
• Omni Resource Services Inc Public Health and Wellness Center

• Non-emergency Medical Transport (VAN) in Louisville, KY
• Providers in Louisville, KY by specialty
• Non-emergency Medical Transport (VAN) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.