Oscar Medical Center

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

039650 Issued in GA

Legal business name

OSCAR MEDICAL CENTER

Practice address

3375 Memorial Dr
Decatur, GA 30032-2706

Phone

(470) 355-2340

Fax

(470) 355-2347

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Igwebuike Onyekaba, MDNPI 1699721605

Title

Medical Director

Phone

(470) 355-2340

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Oscar Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oscar Medical Center, Inc

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1770997835
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Igwebuike Onyekaba, MD

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1699721605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1871901694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OAK HAMPTON WAY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965855",
            "telephone_number": "470-355-2340",
            "fax_number": "470-355-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322706",
            "telephone_number": "470-355-2340",
            "fax_number": "470-355-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "ONYEKABA",
        "authorized_official_first_name": "IGWEBUIKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "470-355-2340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "039650",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "039650",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "GA",
            "license": "039650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavier Ortiz Valle, DC
• Sarah Kate Phillips Orton, MSOT, OTR/L
• Nelly Osakwe-Ozumba
• Nancy Chibuogu Osakwe
• Oscar Medical , Inc
• Oscar Medical Center, Inc
• Matthew Timothy Oshea, DDS
• Bayo Stephen Oshunlalu, RRT
• Kayla Osterhoff, PHD
• Uchenna Osuji, RN

• Urgent Care Clinic/Center in Decatur, GA
• Providers in Decatur, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.