Clement Omidiwura

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

908894 Issued in TX

Practice address

9801 Westheimer Rd Ste 300
Houston, TX 77042-3979

Phone

(832) 736-5338

NPI assigned

Oct 16, 2019

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• River Oaks Hospice

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1851933378
  NPD Authorized official
• Sage Healthcare Staffing LLC

  • Specialist
  • Houston, TX
  • NPI 1043072903
  NPD Authorized official

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1912549429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 WESTHEIMER RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423979",
            "telephone_number": "832-736-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 WESTHEIMER RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423979",
            "telephone_number": "832-736-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIDIWURA",
        "first_name": "CLEMENT",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "908894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bilal Omer, MD
• Elan M. Omessi, M.D.
• Omghealthcareagencyllc
• Naghme Omid Zohoor
• Oluwafishayo Omokehinde Omidele, NP-C
• Tolulope Omidiwura
• Kamran Omidvar, M.D.
• Adesuwa A Omigie, R.N. FNP-BC, PMHNP
• Gloria Omigie
• Adetutu Mobolanle Omilabu, DDS

• Administrator Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.