SANDRA ONYEAGORO


Address: 4100 College Ave, Ellicott City, MD 21043-5506
Phone: 4433645500

SANDRA ONYEAGORO (NPI# 1104053362) 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) 1104053362
Entity Type Individual
Full Name SANDRA ONYEAGORO
Credential M.D.
Practice Address 4100 College Ave
Ellicott City
MD 21043-5506
Mailing Address 7628 Elmcrest Rd
Hanover
MD 21076-1873
Practice Telephone 4433645500
Mailing Telephone 3013267818
Mailing Fax Number 4107991627
Enumeration Date 2009-06-16
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
D0082306 MD Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
2013-00120 NC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
NC 1104053362 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3333 Silas Creek Pkwy, Winston Salem, NC 271033013 3362771800 3362776981

Office Location

Street Address 4100 COLLEGE AVE
City ELLICOTT CITY
State MD
Zip Code 21043-5506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851324164 Sheppard Pratt Health System, Inc. Psychiatric Hospital 4100 College Ave, Ellicott City, MD 21041-0836 2006-07-09
1710524152 Benjamin Bradley Nurse Practitioner 4100 College Ave, Ellicott City, MD 21043-5506 2019-12-04
1801379094 Tuerk House Inc Substance Abuse Rehabilitation Facility 4100 College Ave, Ellicott City, MD 21043-5506 2018-09-13
1992107726 Tuerk House, Inc. Substance Abuse Rehabilitation Facility 4100 College Ave, Ellicott City, MD 21043-5506 2014-09-24
1700287315 Tuerk House, Inc. Community/Behavioral Health 4100 College Ave, Bldg. 8, Ellicott City, MD 21043-5506 2014-09-15
1023445772 Ameya Umakant Amritwar Psychiatry & Neurology 4100 College Ave, Ellicott City, MD 21043-5506 2013-09-26
1407143993 Noella Yefon Shadzeka Physician Assistant 4100 College Ave, Ellicott City, MD 21043-5506 2011-07-05
1346553039 Sameer R. Patel Psychiatry & Neurology 4100 College Ave, Ellicott City, MD 21043-5506 2010-07-22
1548452147 Ariel Antonio Vitali Jr. Psychiatry & Neurology 4100 College Ave, Ellicott City, MD 21043 2007-08-16
1184836462 Deoroop Gurprasad Psychiatry & Neurology 4100 College Ave, Ellicott City, MD 21043-5506 2007-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982242764 Joyce Melinda Kelly Social Worker 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 2019-12-12
1437703972 Capitol Health Care, LLC Speech-Language Pathologist 4115 Sears House Court, Ellicott City, MD 21043 2019-08-01
1851857429 Carol Ann Mckissick Counselor 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 2019-02-19
1659877017 Tender Touch Healthcare Services LLC In Home Supportive Care 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 2018-04-04
1912426099 Hf & Associates, LLC Community/Behavioral Health 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 2017-09-11
1134666779 Stephanie Jean Behavioral Analyst 8762 Town and Country Blvd, Ellicott City, MD 21043 2017-01-20
1124574744 I Can't We Can Counseling Center Preferred Provider Organization 7060 O(akland Mills Rd, Columbia, MD 21043 2016-09-01
1598139925 Jun Woo Lee Chiropractor 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 2015-11-23
1518338953 Byron Lam Chiropractor 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 2015-10-12
1942682174 Jea Sub Song Chiropractor 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 2015-06-24
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851778344 Josef Christian Witt-doerring Psychiatry & Neurology 10045 Baltimore National Pike # A71116, Ellicott City, MD 21042-3673 2015-05-04
1861836439 Peace 4 Minds, P.C. Psychiatry & Neurology 3545 Ellicott Mills Dr Ste B1, Ellicott City, MD 21043-4591 2013-04-25
1053527515 Archana Goel Leon-guerrero Psychiatry & Neurology 3375 Ellicott Center Dr, Unit 2714, Ellicott City, MD 21041-7501 2007-05-14
1972716686 Kim Leah Bright Psychiatry & Neurology 4026 White Star Way, Ellicott City, MD 21042-5008 2007-05-08
1578699708 Sharon Anne Murphy Psychiatry & Neurology 3448 Ellicott Center Dr Ste 202, Ellicott City, MD 21043-4669 2007-02-23
1689724635 Arramraju Nagaraju Psychiatry & Neurology 8120 Hickory High Ct Apt G, Ellicott City, MD 21043-5522 2007-01-11
1861577553 Bergina Brickhouse Isbell Psychiatry & Neurology 8107 Kyne Millers Way, Ellicott City, MD 21043-7532 2006-10-25
1992775357 David Gudipati Chandran Psychiatry & Neurology 9051 Baltimore National Pike, Suite 2b, Ellicott City, MD 21042-3927 2006-01-26
1285617506 Jeffrey Soulen Psychiatry & Neurology 3355 Saint Johns Ln, Ste F, Ellicott City, MD 21042-2605 2005-11-21
1659988400 Led Life, LLC Psychiatry & Neurology 8107 Kyne Millers Way, Ellicott City, MD 21043-7532 2020-09-25
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Competitor

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City ELLICOTT CITY
Zip Code 21043

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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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