DR. CHARLES OGUNRO (NPI# 1710058730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710058730 |
| Entity Type | Individual |
| Full Name | DR. CHARLES OGUNRO |
| Credential | M.D. |
| Practice Address |
145 Hospital Ave Suite 211 Du Bois PA 15801-1462 |
| Practice Telephone | 8143752070 |
| Practice Fax Number | 8143752076 |
| Mailing Telephone | 8143752070 |
| Mailing Fax Number | 8143752076 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
49598 | KY | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
TP318 | KY | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
MD036291L | PA | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
95-118 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010358330005 | 05 | |
| NY | 00237590 | 05 | |
| KY | 7100413180 | 05 |
| Street Address |
145 HOSPITAL AVE SUITE 211 |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688366 | Michael M Hall | Family Medicine | 145 Hospital Ave, Ste 104, Du Bois, PA 15801-1463 | 2005-06-10 |
| 1710518279 | Kaitlyn Marie Eckelberry | Physician Assistant | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-02-03 |
| 1912546193 | Jamie Sue Miller | Registered Nurse | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-01-05 |
| 1780125062 | Dubois Regional Medical Center | Clinical Neuropsychologist | 145 Hospital Ave, Suite 312, Du Bois, PA 15801-1462 | 2017-03-20 |
| 1215470679 | Melissa Allio | Nurse Practitioner | 145 Hospital Ave, Suite 315, Du Bois, PA 15801-1462 | 2016-12-02 |
| 1740645480 | Michele Harris | Nurse Practitioner | 145 Hospital Ave, Suite 212, Du Bois, PA 15801-1462 | 2015-12-23 |
| 1861868143 | Dubois Regional Medical Center - Penn Highlands Dubois Medical Arts | Surgery | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2015-08-20 |
| 1841675469 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Internal Medicine | 145 Hospital Ave, Suite 205, Du Bois, PA 15801-1462 | 2015-07-24 |
| 1205211265 | Cierra Sechman | Physician Assistant | 145 Hospital Ave, Suite 300, Du Bois, PA 15801-1462 | 2015-07-20 |
| 1912303223 | University Orthopedics Center, Ltd | Durable Medical Equipment & Medical Supplies | 145 Hospital Ave, Suite 311, Du Bois, PA 15801-1462 | 2014-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968703 | Joshua Karl Kutinsky | Psychiatry & Neurology | 1528 Walnut St Ste 1500, Philadelphia, PA 19102-3611 | 2017-08-17 |
| 1609146398 | Lawrence Green | Psychiatry & Neurology | 315 Maple Ave, Swarthmore, PA 19081-1412 | 2012-01-11 |
| 1861609711 | Eric M Levin Md | Psychiatry & Neurology | 144 S 8th St Ste 101, Chambersburg, PA 17201-2752 | 2007-05-17 |
| 1477592335 | Charles J Bae | Psychiatry & Neurology | 3624 Market St Ste 201, Philadelphia, PA 19104-2614 | 2006-06-06 |
| 1750383246 | Eric Marc Levin | Psychiatry & Neurology | 901 E Mckinley St, Chambersburg, PA 17201-2823 | 2005-08-15 |
| 1801417126 | Capital Neurology | Psychiatry & Neurology | 4250 Crums Mill Rd Ste 102, Harrisburg, PA 17112-2889 | 2020-04-27 |
| 1902267230 | Methodist Associates In Healthcare, Inc. | Psychiatry & Neurology | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-03-15 |
| 1982015186 | Sergiu Abramovici | Psychiatry & Neurology | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2014-05-11 |
| 1689011207 | James Francis Castellano | Psychiatry & Neurology | 3471 5th Ave Ste 810, Pittsburgh, PA 15213 | 2013-05-23 |
| 1083963169 | Anthony Storm Junod | Psychiatry & Neurology | 200 Scenery Dr, State College, PA 16801 | 2012-09-05 |
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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.