OSAGUONA OSA (NPI# 1043300858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043300858 |
| Entity Type | Individual |
| Full Name | OSAGUONA OSA |
| Credential | MD |
| Practice Address |
201 E Grover St Shelby NC 28150-3917 |
| Mailing Address |
Po Box 601884 Charlotte NC 28260-1884 |
| Practice Telephone | 9804873678 |
| Practice Fax Number | 9804872222 |
| Mailing Telephone | 9804873678 |
| Mailing Fax Number | 9804872222 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2005-01139 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
2005-01139 | NC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2005-01139 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5901437 | 05 | |
| SC | NUP361 | 05 |
| Street Address |
201 E GROVER ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194109 | Benjamin Goldman | Internal Medicine | 201 E Grover St, Shelby, NC 28150-3917 | 2005-06-14 |
| 1225648231 | Elizabeth Dahl | Registered Nurse | 201 E Grover St, Shelby, NC 28150-3917 | 2020-08-04 |
| 1588289920 | Haley Hutchins Blalock | Pharmacist | 201 E Grover St, Shelby, NC 28150-3917 | 2020-06-11 |
| 1386269074 | Kathleen Marie Reitz | Pharmacist | 201 E Grover St, Shelby, NC 28150-3917 | 2020-06-09 |
| 1588289284 | Kaila Hope Kirby | Pharmacist | 201 E Grover St, Shelby, NC 28150-3917 | 2020-06-09 |
| 1053958918 | Brittany Dick | Nurse Practitioner | 201 E Grover St, Shelby, NC 28150-3917 | 2019-12-10 |
| 1548814312 | Elizabeth Ann Weaver | Nurse Practitioner | 201 E Grover St, Shelby, NC 28150-3917 | 2019-07-30 |
| 1184289332 | Austin Allen | Physician Assistant | 201 E Grover St, Shelby, NC 28150-3917 | 2019-05-03 |
| 1003372079 | Katherine Mattingly | Physician Assistant | 201 E Grover St, Shelby, NC 28150-3917 | 2019-02-14 |
| 1871065680 | Rachel Marie Isom | Dietitian, Registered | 201 E Grover St, Shelby, NC 28150-3917 | 2018-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245449206 | Ohio Medical Associates Inc. | Internal Medicine | 24 E Whitney Ave # 2, Shelby, OH 44875-1246 | 2007-05-22 |
| 1790709111 | Michael L Adix | Internal Medicine | 419 Earl Road, Shelby, NC 28150 | 2006-07-27 |
| 1982636700 | Ajay Chawla | Internal Medicine | 110 Auburn Ave, Suite 2, Shelby, OH 44875-1104 | 2006-07-06 |
| 1912965583 | Ian Patrick Stamp | Internal Medicine | 1413 N Lafayette St, Shelby, NC 28150-3406 | 2006-05-03 |
| 1104897990 | William J Polinski | Internal Medicine | 199 W. Main St., 2nd Floor, Shelby, OH 44875 | 2006-01-30 |
| 1144208422 | Irving A Williams | Internal Medicine | 917 N Lafayette St, Shelby, NC 28150-3832 | 2006-01-06 |
| 1750363016 | Christian Anderson | Internal Medicine | 1124 N Washington St, Shelby, NC 28150-3862 | 2005-11-14 |
| 1164415618 | Calvin Caunt | Internal Medicine | 807 Schenck St, Ste 2, Shelby, NC 28150-5122 | 2005-08-30 |
| 1831194109 | Benjamin Goldman | Internal Medicine | 201 E Grover St, Shelby, NC 28150-3917 | 2005-06-14 |
| 1306262258 | Northwest Michigan Health Services, Inc | Internal Medicine | 119 S State St, Shelby, MI 49455-1243 | 2014-03-14 |
| Find all providers in SHELBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.