OBIDIKE M. OLISA MD – NPI #1184822181
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

OBIDIKE OLISA is a physician located in IRONWOOD, MI. NPPES has assigned the NPI number 1184822181 to OBIDIKE OLISA on July 11, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Oct 05, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OBIDIKE OLISA below.

NPI Profile for
OBIDIKE M. OLISA

NPI Number
1184822181
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
OBIDIKE M. OLISA
Credentials
MD
Primary location
N10565 GRANDVIEW LN
IRONWOOD, MI 49938-9622
Phone: (906) 932-1500 Fax: (906) 932-5630
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for OBIDIKE OLISA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELD MIMIOO090895
MEDICAIDMI5208906
MEDICAIDWI34934900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MI 4301090895

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.