Individual provider Active NPI

Ifeanyi Victor Osunwoke, PA

  • Physician Assistant
  • Westland, MI
National Provider Identifier
1891665576
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013615 Issued in MI
Practice address
33000 Palmer Rd
Westland, MI 48186-5517
Phone
(734) 729-1800
NPI assigned
Nov 7, 2025
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 5601013615 MI Primary

Addresses

Primary practice location

33000 Palmer Rd
Westland, MI 48186-5517

Mailing address

33000 Palmer Rd
Westland, MI 48186-5517
Phone (734) 729-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203003507 MI Practitioner - Physician Assistant 5890288245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Practice addresses (Care Compare)

23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908
Phone (734) 333-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601013615MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Urgent Care PC Single Specialty CurrentSince Nov 26, 2025 Accepting new patients
First Choice Medical Group PLLC Single Specialty PastSince Nov 26, 2025 Accepting new patients

Locations

23455 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (734) 333-8001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1891665576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33000 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865517",
            "telephone_number": "734-729-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33000 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865517",
            "telephone_number": "734-729-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNWOKE",
        "first_name": "IFEANYI",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.