DR. CHARLES OGUNRO M.D. NPI 1710058730

NPI Information

  • NPI: 1710058730
  • Provider Name: DR. CHARLES OGUNRO, M.D.
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 145 HOSPITAL AVE
    SUITE 211
    DU BOIS, PA
    ZIP 15801
  • Phone: (814) 375-2070

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NPI Details

DR. Charles Ogunro, M.D. is a clinical neurophysiology psychiatry neurology in Du Bois, PA. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. Charles Ogunro, M.D. NPI is 1710058730. 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:

145 HOSPITAL AVE
SUITE 211
DU BOIS, PA
ZIP 15801-462
Phone: (814) 375-2070
Fax: (814) 375-2076

The NPI 1710058730 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 11/13/2006 and was last updated on 9/20/2016.

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
12084N0600XPsychiatry & NeurologyClinical Neurophysiology95-118NEW MEXICONo
22084N0600XPsychiatry & NeurologyClinical Neurophysiology49598KENTUCKYNo
32084N0600XPsychiatry & NeurologyClinical NeurophysiologyTP318KENTUCKYNo
42084N0600XPsychiatry & NeurologyClinical NeurophysiologyMD036291LPENNSYLVANIAYes

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
1K204640MEDICARE PINKENTUCKY
2091513N8UMEDICARE PINPENNSYLVANIA
37100413180MEDICAIDKENTUCKY
400237590MEDICAIDNEW YORK
50010358330005MEDICAIDPENNSYLVANIA

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

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