Individual provider Active NPI

Uduak Ibanga Ogunsiakan

  • Registered Nurse
  • Gaithersburg, MD
National Provider Identifier
1972036424
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R196129 Issued in MD
Practice address
18902 Montgomery Village Ave
Gaithersburg, MD 20886-3724
Phone
(202) 361-5080
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R196129 MD Primary

Addresses

Primary practice location

18902 Montgomery Village Ave
Gaithersburg, MD 20886-3724

Mailing address

18902 Montgomery Village Ave
Gaithersburg, MD 20886-3724
Phone (202) 361-5080

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

State licenses

LicenseStateTypeSpecialty
R196129MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Angels Nursing Services Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1972036424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18902 MONTGOMERY VILLAGE AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863724",
            "telephone_number": "202-361-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18902 MONTGOMERY VILLAGE AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863724",
            "telephone_number": "202-361-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSIAKAN",
        "first_name": "UDUAK IBANGA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R196129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.