DR. OMOROGIUWA O IGUOBADIA (NPI# 1841639713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841639713 |
| Entity Type | Individual |
| Full Name | DR. OMOROGIUWA O IGUOBADIA |
| Credential | MD |
| Practice Address |
107 Peacock Dr Warner Robins GA 31088-3637 |
| Practice Telephone | 4789223074 |
| Practice Fax Number | 4789223076 |
| Mailing Telephone | 4789223074 |
| Mailing Fax Number | 4789223076 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 074772 | GA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 6188 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003171301 | 05 |
| Street Address |
107 PEACOCK DR |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194020412 | Physio Lab Physical Therapy | Physical Medicine & Rehabilitation | 107 Peacock Dr, Warner Robins, GA 31088-3637 | 2011-01-18 |
| 1477858421 | Corvic Group | Clinic/Center | 107 Peacock Dr, Warner Robins, GA 31088-3637 | 2011-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679584601 | Badia Medical, LLC | Pediatrics | 107 Peacock Drive, Warner Robins, GA 31088 | 2006-08-11 |
| 1558393496 | Alphonsa J Erinjeri | Pediatrics | 1524 Watson Blvd, Suite B, Warner Robins, GA 31093-3484 | 2006-07-07 |
| 1760449383 | Kevin K. Niebaum | Pediatrics | 306 Corder Rd, Suite 1, Warner Robins, GA 31088-3647 | 2006-04-27 |
| 1740247527 | Mansoor Salehbhai | Pediatrics | 1049 North Houston Road, Warner Robins, GA 31093 | 2006-04-27 |
| 1811983703 | Mygleetus Williams Wright | Pediatrics | 116 S Houston Rd, Warner Robins, GA 31088-3904 | 2005-09-26 |
| 1306844881 | Anna Maria Abrigo | Pediatrics | 655 7th St, Robins Air Force Base, Warner Robins, GA 31098-2227 | 2005-07-08 |
| 1386087690 | Dhara Patel | Pediatrics | 1049 N Houston Rd, Warner Robins, GA 31093-1505 | 2013-04-17 |
| 1922276252 | Youthcare Pediatrics of Central Georgia, PC | Pediatrics | 233 N Houston Rd, Suite 140-h, Warner Robins, GA 31093-3074 | 2008-02-20 |
| 1619155751 | Pediatric Care After Hours | Pediatrics | 116 S Houston Rd, Warner Robins, GA 31088-3904 | 2008-01-31 |
| 1972633089 | Pediatrics Alpha | Pediatrics | 1524 Watson Blvd, Suite B, Warner Robins, GA 31093-3484 | 2007-03-07 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on DR. OMOROGIUWA O IGUOBADIA.
| 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.