STEPHEN OMOBUDE NPI 1124156286

NPI Information

  • NPI: 1124156286
  • Provider Name: STEPHEN OMOBUDE
  • Classification: Driver - 172A00000X
  • Entity Type: Individual
  • Address: 3413 DESOTA AVE
    CLEVELAND HTS, OH
    ZIP 44118
  • Phone: (216) 738-1255

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NPI Details

Stephen Omobude is a driver in Cleveland Hts, OH. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Stephen Omobude NPI is 1124156286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3413 DESOTA AVE
CLEVELAND HTS, OH
ZIP 44118
Phone: (216) 738-1255
Fax: (216) 738-1255

The enumeration date for this NPI number is 3/1/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172A00000XDriverSTNA 400457110205Yes
2376J00000XHomemakerSTNA 400457110205No
3376K00000XNurse's AideSTNA 400457110205No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11807192OTHEROHIOODMRDD CONTRACT #
22564014MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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