CLINTON HEZEKIAH OGOLO


Address: 1457 Nottingham Way, Trenton, NJ 08609-1909
Phone: 6095863828

CLINTON HEZEKIAH OGOLO (NPI# 1730219981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730219981
Entity Type Individual
Full Name CLINTON HEZEKIAH OGOLO
Credential MD
Practice Address 1457 Nottingham Way
Trenton
NJ 08609-1909
Practice Telephone 6095863828
Practice Fax Number 6095869466
Mailing Telephone 6095863828
Mailing Fax Number 6095869466
Enumeration Date 2007-03-06
Last Update Date 2007-07-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MA60771 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AETNA 531742 01
NJ KEYSTONE HEALTH PLAN EAST 349315 01
NJ MANAGE CARE 6077100 01
NJ 6514901 05
NJ HORIZON NJ HEALTH 1022197 01
NJ AMERIHEALTH 0037114001 01
NJ HEALTH NET 0K1372 01
NJ UNIVERSITY HEALTH PLAN 15542 01
NJ OXFORD P1094258 01
NJ PENNSYLVANIA BC BS 00349315 01
NJ AMERIGROUP 24400 01
NJ CIGNA 893850 01

Office Location

Street Address 1457 NOTTINGHAM WAY
City TRENTON
State NJ
Zip Code 08609-1909

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801440359 Jeannette Oliveras Nurse Practitioner 218 North Broad St., Trenton, NJ 08609 2019-08-01
1932539061 Empire Washitaw De Dugdahmoundyah Nation of Muurs Substance Abuse Rehabilitation Facility 106 Assunpink Village, Millham Township, Trenton, NJ 08609 2013-11-27
1902245350 Catholic Charities Community/Behavioral Health 833 Cass Street, Trenton, NJ 08609 2013-06-19
1164795282 Avril O Noyan Nurse Practitioner 112 Ewing Street, Trenton, NJ 08609 2012-02-21
1245558774 Mary Lopez Counselor 39 N. Clinton Ave, Catholic Charities, Trenton, NJ 08609 2010-05-07
1407085913 Shuifa Liao Pharmacist 201 N. Hermitage Ave, Trenton, NJ 08609 2009-07-06
1265692883 Charles M Ortegon Dentist 637 Greenwood Ave, Trenton, NJ 08609 2008-06-17
1912033911 Kelly Branham Zaremba Counselor 39 North Clinton Avenue, Trenton, NJ 08609 2007-02-26
1821183120 Neil Mcdougald Counselor 10 Southard Street, Trenton, NJ 08609 2006-10-03
1780778399 Catholic Charities Counselor 47 North Clinton Avenue, Trenton, NJ 08609 2006-10-03
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437764859 Edward Laub Md LLC Internal Medicine 2053 Klockner Rd, Trenton, NJ 08690-3413 2020-09-11
1194387050 Hossen Mahmud Internal Medicine 2333 Whitehorse Mercerville Rd Ste J, Trenton, NJ 08619-1946 2019-07-01
1770971954 Pavela Saha Internal Medicine 650 Brunswick Ave, Trenton, NJ 08901-1928 2014-12-22
1992124143 Maryanne Njideka Ejidike Internal Medicine 601 Hamilton Ave., Rm B-158 St. Francis Medical Center, Office of Gradual Medical Education, Trenton, NJ 08629-1915 2014-04-15
1457778896 Grace N. Tseng Internal Medicine 601 Hamilton Ave Rm B-158, St. Francis Medical Center Office of Graduate Medical E, Trenton, NJ 08629-1915 2014-03-24
1740607316 Normy Dessalines Internal Medicine 601 Hamilton Ave., Rm B-158, St. Francis Medical Center, Office of Graduate Medical, Trenton, NJ 08629-1915 2014-03-21
1215272596 South Valley Internal Medicine, P.C. Internal Medicine 2674 W Jefferson Ave, Trenton, MI 48183-2800 2012-11-28
1063624823 Christine Marie Capio Internal Medicine 132 Perry St, Trenton, NJ 08618 2007-05-04
1194944132 Jane Lorene Rohlf Internal Medicine 708 Chambers St, Trenton, NJ 08611-3708 2007-04-25
1164569273 Mercer Regional Medical Assoc Internal Medicine 416 Bellevue Ave Ste 201, Trenton, NJ 08618 2007-01-30
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Competitor

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City TRENTON
Zip Code 08609

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Dataset Information

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.

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