Provider Demographics
NPI:1124109525
Name:OHMAN, VALERIE (MD)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:OHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:YOSEMITE NATIONAL PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95389-0550
Mailing Address - Country:US
Mailing Address - Phone:209-372-4637
Mailing Address - Fax:209-372-4330
Practice Address - Street 1:9000 AHWAHNEE DRIVE
Practice Address - Street 2:
Practice Address - City:YOSEMITE NATIONAL PARK
Practice Address - State:CA
Practice Address - Zip Code:95389
Practice Address - Country:US
Practice Address - Phone:209-372-4637
Practice Address - Fax:209-372-4330
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD23696207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1124109525OtherBCBS OF AZ
8HG576OtherMEDICARE PART B
AZ418740-01Medicaid
030078OtherMEDICARE PART A
AZ418740-01Medicaid