Ijb Helathcare Services, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

059300 Issued in GA

Legal business name

IJB HELATHCARE SERVICES, PC

Practice address

6055 Atlantic Blvd
G1
Norcross, GA 30071-1366

Phone

(770) 331-8035

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Olugbemiga Osoba, M.DNPI 1578623443

Title

Physician

Phone

(770) 331-8035

Specialties & licenses 1

Addresses

Other names 1

• Olugbemida Osoba, MD Doing business as

Locations

Practitioners 1

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

• Olugbemiga A. Osoba, M.D.

  • Psychiatry Physician
  • Peachtree Corners, GA
  • NPI 1578623443
  NPD Authorized official

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1891199857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780A ASHFORD DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385504",
            "telephone_number": "770-331-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 ATLANTIC BLVD",
            "address_2": "G1",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711366",
            "telephone_number": "770-331-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJB HELATHCARE SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "OSOBA",
        "authorized_official_first_name": "OLUGBEMIGA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-331-8035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "059300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olugbemida Osoba, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tong M Huynh, MD
• Vinh P Huynh, DMD
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• Iclear Orthodontics and Braces North LLC
• Daniel Ikpechukwu, MS, ICADC
• Imagix 2 Dental
• Imagix Dental of Norcross LLC
• In-Quest Medical Research, LLC
• Shah Inayat, M.D.

• Psychiatry Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.