| Mr Onweli Ernest Ogbolu, MD | |
|
3009 Corporate Ln Ste 210, Suffolk, VA 23434-9344 | |
| (757) 623-0005 | |
| (757) 935-1561 |
| Full Name | Mr Onweli Ernest Ogbolu |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 17 Years |
| Location | 3009 Corporate Ln Ste 210, Suffolk, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336301423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 318289 (Virginia) | Primary |
| 207R00000X | Internal Medicine | 0101253773 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deowee Dialysis | Suffolk, VA | Dialysis facility |
| Total Renal Care - Harbor View Dialysis | Suffolk, VA | Dialysis facility |
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Riverside Regional Medical Center | Newport news, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Kidney Specialists Inc | 6507852662 | 21 |
| Entity Name | Tidewater Kidney Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780624627 PECOS PAC ID: 6507852662 Enrollment ID: O20040519001509 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Onweli Ernest Ogbolu, MD 4445 Corporation Ln Ste 100, Virginia Beach, VA 23462-3666 Ph: (757) 623-0005 | Mr Onweli Ernest Ogbolu, MD 3009 Corporate Ln Ste 210, Suffolk, VA 23434-9344 Ph: (757) 623-0005 |
Dr. James J Stark, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435 Phone: 757-397-4200 Fax: 757-397-3872 | |
Dr. Harish V Iyer, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435 Phone: 757-483-6100 Fax: 757-483-2203 | |
Mrs. Zia Ann Khould, CNP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-397-4200 | |
Dr. Thomas Vincent Whelan, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3009 Corporate Ln, Suite 210, Suffolk, VA 23434 Phone: 757-623-0005 Fax: 757-935-1561 | |
Dr. Demetria Yvette Austin, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2800 Godwin Blvd, Suffolk, VA 23434 Phone: 757-967-8622 Fax: 757-686-0541 | |
Hussein Mohamed Aboulatta, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-2564 | |
Dr. Michael T Williams, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St Ste 200, Suffolk, VA 23434 Phone: 757-934-1003 Fax: 757-934-1660 |