NPIMap

Organization Active NPI

Tricounty Family Practice, PC

  • Family Medicine Physician
  • Roanoke, AL
National Provider Identifier
1891897948
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20466 Issued in AL
Legal business name
TRICOUNTY FAMILY PRACTICE, PC
Practice address
149 Chestnut St
Roanoke, AL 36274-1301
Phone
(334) 863-5484
Fax
(334) 863-5481
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Abayomi G Oshinowo, MDNPI 1417956467
Title
Medical Director
Phone
(334) 863-5484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20466 AL Primary

Addresses

Primary practice location

149 Chestnut St
Roanoke, AL 36274-1301

Mailing address

149 Chestnut St
Roanoke, AL 36274-1301
Phone (334) 863-5484

Other identifiers 1

IdentifierTypeStateIssuer
529904460MedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1891897948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CHESTNUT ST",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362741301",
            "telephone_number": "334-863-5484",
            "fax_number": "334-863-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CHESTNUT ST",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362741301",
            "telephone_number": "334-863-5484",
            "fax_number": "334-863-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "OSHINOWO",
        "authorized_official_first_name": "ABAYOMI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "334-863-5484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529904460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.