NPIMap

Organization Active NPI

Omedicus, Inc. P.a.

  • Internal Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1861637944
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M9109 Issued in TX
Legal business name
OMEDICUS, INC. P.A.
Practice address
1329 N University Dr
Suite E-5
Nacogdoches, TX 75961-4232
Phone
(936) 564-1176
Fax
(936) 564-1227
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Scott Oh, M.D.
Title
President/Physician
Phone
(936) 564-1176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M9109 TX Primary

Addresses

Primary practice location

1329 N University Dr
Suite E-5
Nacogdoches, TX 75961-4232

Mailing address

1329 N University Dr
Suite E-5
Nacogdoches, TX 75961-4232
Phone (936) 564-1176

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1861637944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 N UNIVERSITY DR",
            "address_2": "SUITE E-5",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614232",
            "telephone_number": "936-564-1176",
            "fax_number": "936-564-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 N UNIVERSITY DR",
            "address_2": "SUITE E-5",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614232",
            "telephone_number": "936-564-1176",
            "fax_number": "936-564-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEDICUS, INC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "936-564-1176",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.