Healthcare Provider Details

I. General information

NPI: 1477698991
Provider Name (Legal Business Name): RICHARD O. ONI, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 10/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 BROADWAY
MERRILLVILLE IN
46410-2782
US

IV. Provider business mailing address

5525 BROADWAY
MERRILLVILLE IN
46410-2782
US

V. Phone/Fax

Practice location:
  • Phone: 219-884-1551
  • Fax: 219-887-6334
Mailing address:
  • Phone: 219-884-1551
  • Fax: 219-887-6334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number01030980A
License Number StateIN

VIII. Authorized Official

Name: DR. RICHARD O ONI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 219-884-1551