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VICTOR OSISANYA M.D. NPI 1679884753


NPI Information

NPI: 1679884753
Provider Name: VICTOR OSISANYA, M.D.
Classification: Pain Medicine - 208VP0000X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
2550 WINDY HILL RD SE STE 215
STE 215
MARIETTA, GA
ZIP 30067
Phone: (770) 850-8464
Get Directions

Victor Osisanya, M.D. is a pain medicine pain medicine in Marietta, GA with 14 years of experience. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. Victor Osisanya, M.D. NPI is 1679884753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2010

The provider's business location address is:

2550 WINDY HILL RD SE STE 215
STE 215
MARIETTA, GA
ZIP 30067-654
Phone: (770) 850-8464
Fax: (770) 850-9727

The NPI 1679884753 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 2/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain Medicine71689GEORGIANo
2208VP0014XPain MedicineInterventional Pain Medicine71689GEORGIANo
3208VP0000XPain MedicinePain Medicine71689GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003153374DMEDICAIDGEORGIA
2003153374BMEDICAIDGEORGIA
3003153374EMEDICAIDGEORGIA
4003153374FMEDICAIDGEORGIA
5202I725335MEDICARE PINGEORGIA
6003153374CMEDICAIDGEORGIA
7003153374GMEDICAIDGEORGIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.