Active NPI
John Dybunpin Onglatco, M.D.
- Anesthesiology Physician
- Bluefield, WV
National Provider Identifier
1972617595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20634
- Practice address
- 324 North St
Suite 2
Bluefield, WV 24701-4038 - Phone
- (304) 327-3408
- Fax
- (304) 324-7967
- NPI assigned
- Aug 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20634 | WV | Primary |
| Anesthesiology Physician | 207L00000X | 0101242167 | VA |
Addresses
Primary practice location
324 North St
Suite 2
Bluefield, WV 24701-4038
Mailing address
324 North St
Suite 2
Bluefield, WV 24701-4038
Phone (304) 327-3408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000597000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101242167 | VA | MD | Anesthesiology Physician |
| 20634 | WV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of West Virginia - South Charleston | Anesthesiology | Current | Accepting new patients |
| East River Anesthesiology Inc | Anesthesiology | Current | Accepting new patients |
| Bluefield Anesthesia Associates Inc | Anesthesiology | Past | Accepting new patients |
| Bluefield Regional Medical Center | Past | Accepting new patients | |
| Doctors' Anesthesia Associates Inc | Anesthesiology | Past | Accepting new patients |
Locations
122 12th Street Ext
Princeton, WV 24740
Phone (304) 487-7275
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
Interoperability endpoints
- jonglatc@yourcarecommunity.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Princeton, WV
- NPI 1740711795
-
- Anesthesiology Physician
- Princeton, WV
- NPI 1063228120
-
- Anesthesiology Physician
- Bluefield, WV
- NPI 1376636571
-
- General Acute Care Hospital
- Bluefield, WV
- NPI 1407805633
-
- Anesthesiology Physician
- Princeton, WV
- NPI 1134265697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1972617595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 NORTH ST",
"address_2": "SUITE 2",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014038",
"telephone_number": "304-327-3408",
"fax_number": "304-324-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 NORTH ST",
"address_2": "SUITE 2",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014038",
"telephone_number": "304-327-3408",
"fax_number": "304-324-7967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONGLATCO",
"first_name": "JOHN",
"middle_name": "DYBUNPIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "20634",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101242167",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000597000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.