Physician Compare National (NPI:1710321435)

HEALTHCARE PROVIDER: ONACHI OFOMA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1710321435
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002248523
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191121000184
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OFOMA
	Individual professional last name
Provider First Name	ONACHI
	Individual professional first name
Provider Middle Name	O
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ENDOCRINOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ENDOCRINOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ARKANSAS EMERGENCY STAFFING SOLUTIONS INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3274681341
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	31
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2729 S HWY 65 82
	Group Practice or individual's line 1 address
City	LAKE VILLAGE
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	716536136
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8702655351
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040067
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAGNOLIA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	041323
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ASHLEY COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	040071
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JEFFERSON REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	041317
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	DALLAS COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y