Indicator showing if an Applicable Manufacturer/GPO is requesting a delay in publication of a payment or other transfer of value Indicates the third party entity that received the payment or other transfer of value is a charity. Indicates if a payment or transfer of value was paid to a third party entity or individual at the request of or on behalf of a covered recipient(physician or teaching hospital). Indicates whether the physician holds ownership or investment interest in the applicable manufacturer this indicator is limited to physician's ownership, not physician's family members' ownership Indicator showing if recipient of the payment or transfer of value is a physician covered recipient or a teaching hospital. Indicator showing if the payment record is New, Added,Changed, or Unchanged in the current publicationcompared to the previous publication.
Name of Drug or Biological or Device or Medical SupplyĪdditional Information (provided by company making payment) Indicate Drug or Biological or Device or Medical Supply State name of the submitting applicable manufacturer or submitting applicable GPO as provided in Open PaymentsĪpplicable Manufacturer or Applicable GPO Making Payment CountryĬountry name of the Submitting Applicable Manufacturer or Submitting Applicable Group Purchasing Organization (GPO) as provided in Open Payments Textual proper name of the applicable manufacturer or applicable GPO making the payment or other transfer of valueĪpplicable Manufacturer or Applicable GPO Making Payment State System generated unique identifier of the Applicable Manufacturer or Applicable Group Purchasing Organization(GPO) Making payment or other transfer of valueĪpplicable Manufacturer or Applicable GPO Making Payment Name Textual proper name of the submitting applicable manufacturer or submitting applicable GPO.Īpplicable Manufacturer or Applicable GPO Making Payment ID Submitting Applicable Manufacturer or Applicable GPO Name
FIDELIA OSINUBI LICENSE NUMBER
The state license number of the covered recipient physician, which is a 2 - letter state abbreviation the record may include up to 5 physician license states, if a physician is licensed in multiple states.
FIDELIA OSINUBI CODE
Physician's single specialty chosen from the standardized 'provider taxonomy' code list. Primary type of medicine practiced by the physician (covered recipient).ĪLLOPATHIC & OSTEOPATHIC PHYSICIANS|FAMILY MEDICINE Primary practice/business address of the physician or teaching hospital (covered recipient) receiving the payment or other transfer of value.
Name of the physician (covered recipient) receiving the payment or transfer of value, as reported by the submitting entity.ģ885 PRINCETON LAKES PKWY ATLANTA GA 30331 System generated unique identifier for physician profile receiving the payment or other transfer of value. The nature of payment used to pay the covered recipient or to make the transfer of value. The method of payment used to pay the covered recipient or to make the transfer of value. The number of discrete payments being reported in the 'Total Amount of Payment'. Number of Payments Included in Total Amount The predefined date when the payment or other transfer of value is scheduled to be published
FIDELIA OSINUBI SERIES
If a singular payment, then this is the actual date the payment was issued if a series of payments or an aggregated set of payments, this is the date of the first payment to the covered recipient in this program year dollar amount of payment or other transfer of value to recipient(manufacturer must convert to dollar currency if necessary) Published on September 16, 2020.System-assigned identifier to the general transaction at the time of submission The business address is 20300 S Vermont Ave, Suite 215, Torrance, CA 90502-1334. Fidelia Onyebuchi Nnachetam is a nurse practitioner enrolled with Centers for Medicare & Medicaid Services (CMS).
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