Kenneth Oghale Osiezagha (NPI# 1205181724, PAC ID# 5991093957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1205181724 |
| PAC ID by PECOS | 5991093957 |
| Professional Enrollment ID | I20190918002061 |
| Full Name | Kenneth Oghale Osiezagha |
| Address |
201 Oak Dr S Suite 102 Lake Jackson TX 77566-5626 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350006 | TRINITY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 201 Oak Dr S, Suite 102, Lake Jackson, TX 77566-5626 |
| Street Address |
201 OAK DR S SUITE 102 |
| City | LAKE JACKSON |
| State | TX |
| Zip | 77566-5626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyndon F Barnwell | Neurology | 201 Oak Dr S, Suite 201, Lake Jackson, TX 77566-5627 | |
| Henry Enoc Martinez | General Surgery | 201 Oak Dr S, 101 Lake Jackson Surgical Clinic, Lake Jackson, TX 77566-5626 | |
| William E Burns Jr. | Family Medicine | 201 Oak Dr S, Suite 203, Lake Jackson, TX 77566-5676 | |
| Bruce Paul Meyers | Otolaryngology | Brazosport Ear, Nose and Throat Clinic, Pa | 201 Oak Dr S, Suite 207, Lake Jackson, TX 77566-5627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Gilliland | Obstetrics/gynecology | 215 Oak S Dr D, Lake Jackson, TX 77566 | |
| William Jackson Jr. | Optometry | 100 Hwy 332 W, Suite 1096, Lake Jackson, TX 77566-4014 | |
| Julie T Nguyen | Optometry | 121 Hwy 332 W, Suite 100, Lake Jackson, TX 77566-4015 | |
| Brian K Shandley | Optometry | 120 Hwy 332 W, Suite A5, Lake Jackson, TX 77566-4017 | |
| Donald C Stran | Podiatry | S and S Foot Specialists, Pa | 121 W Hwy 332, Lake Jackson, TX 77566-4099 |
| Jana Emola | Qualified Audiologist | 135 Oyster Creek Dr, Suite H, Lake Jackson, TX 77566-4118 | |
| Jeevan C Gowda | Internal Medicine | 135 Oyster Creek Dr, Lake Jackson, TX 77566-4183 | |
| Richard D Hosack | Podiatry | 114 Scarlet Oak St, Lake Jackson, TX 77566-4352 | |
| Robert G Haws | Optometry | 126 Oyster Creek Dr, A, Lake Jackson, TX 77566-4463 | |
| Karen Millender | Family Medicine | Baylor St Lukes Medical Group | 210 Lake Rd, Suite 300, Lake Jackson, TX 77566-4982 |
| Find all physicians in zip 77566 | |||
| City | LAKE JACKSON |
| Zip Code | 77566 |
| Specialty | PSYCHIATRY |
| City + Specialty | LAKE JACKSON + PSYCHIATRY |
Please comment or provide details below to improve the information on Kenneth Oghale Osiezagha.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.