Dr Kenneth Onyekwere Ofoha, MD | |
401 W Pike St, Suite A & B, Lawrenceville, GA 30046-4845 | |
(678) 442-9486 | |
Not Available |
Full Name | Dr Kenneth Onyekwere Ofoha |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 401 W Pike St, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154681567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 68463 (Georgia) | Primary |
Entity Name | Emerginet Srmc, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538118344 PECOS PAC ID: 9436062973 Enrollment ID: O20031110000743 |
Entity Name | Peach Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902165327 PECOS PAC ID: 2567628993 Enrollment ID: O20120730000310 |
Entity Name | Georgia Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Entity Name | Houston County Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
Mailing Address | Practice Location Address |
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Dr Kenneth Onyekwere Ofoha, MD Po Box 492110, Lawrenceville, GA 30049-0036 Ph: (678) 442-9486 | Dr Kenneth Onyekwere Ofoha, MD 401 W Pike St, Suite A & B, Lawrenceville, GA 30046-4845 Ph: (678) 442-9486 |
Amanarh Albert Kisseih, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-3317 Fax: 678-442-4416 | |
Dr. Anna Carolyn Nay, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Medical Center Blvd Ste 135, Lawrenceville, GA 30046 Phone: 678-312-3317 | |
Donald Alfred Ruf, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-3317 Fax: 678-442-4416 | |
Roy Gilbreath, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1185 Rivershyre Pkwy, Lawrenceville, GA 30043 Phone: 678-591-7640 | |
Tiffany Mckinnie, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4416 | |
Danielle Hines, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3317 | |
Dr. James Lofton Smith Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-3317 Fax: 678-442-4416 |