Active NPI
Victor O a Ogunlana, MD
- Pediatrics Physician
- Mission, TX
National Provider Identifier
1962423798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L0467
- Practice address
- 2408 N Conway Ave
Mission, TX 78572 - Phone
- (956) 519-2800
- Fax
- (956) 519-9424
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L0467 | TX | Primary |
Addresses
Primary practice location
2408 N Conway Ave
Mission, TX 78572
Mailing address
PO Box 3239
Mission, TX 78573
Phone (956) 519-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0467 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Hospital at Renaissance, LTD | Past | Accepting new patients | |
| Victor O.a. Ogunlana MD PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Mission, TX
- NPI 1942489943
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962423798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "MISSION",
"state": "TX",
"postal_code": "78573",
"telephone_number": "956-519-2800",
"fax_number": "956-519-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 N CONWAY AVE",
"city": "MISSION",
"state": "TX",
"postal_code": "78572",
"telephone_number": "956-519-2800",
"fax_number": "956-519-9424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNLANA",
"first_name": "VICTOR",
"middle_name": "O A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L0467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.