DR. CATHERINE ENO OKPON ONABAJO M.D, NPI 1003871658

Family Medicine in Lewisville, TX

About CATHERINE OKPON ONABAJO

Catherine Okpon Onabajo is a provider in Lewisville, TX. The NPI number assigned to this provider is 1003871658. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 3 years ago. Catherine Okpon Onabajo is registered with Medicare.

NPI1003871658 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. CATHERINE ENO OKPON ONABAJO M.D,
Provider Location Address1118 W MAIN ST LEWISVILLE, TX 75067 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address125 KINGSRIDGE DR COPPELL, TX 75019 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-18-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-06-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. CATHERINE ENO OKPON ONABAJO M.D,
1118 W MAIN ST
LEWISVILLE, TX
ZIP 75067
Phone: (972) 956-5558
Fax: (972) 956-0578
Get Directions

Mailing Address

DR. CATHERINE ENO OKPON ONABAJO M.D,
125 KINGSRIDGE DR
COPPELL, TX
ZIP 75019
Phone: (972) 745-7072
Fax: (972) 745-3181

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.K1890
License StateTX
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineK1890TXNo

Taxonomy Description: an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
137971121MEDICAID (05)TX
G39419MEDICARE UPIN (02)TX
8F0984MEDICARE PIN (08)TX
8U0990OTHER (01)TX
176341902MEDICAID (05)TX

Map Location


DR. CATHERINE ENO OKPON ONABAJO M.D, address is 1118 W MAIN ST LEWISVILLE, TX 75067

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689892374ADONAI FAMILY HEALTH CENTER L.L.C.
Organization
Clinic/Center (Medical Specialty)1118 W MAIN ST
LEWISVILLE, TX 75067
(972) 956-5558