OLUFUNKE A ODETUNDE (NPI# 1154378958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154378958 |
| Entity Type | Individual |
| Full Name | OLUFUNKE A ODETUNDE |
| Credential | MD |
| Practice Address |
2515 Business Center Dr Pearland TX 77584-2294 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 7134427200 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K1595 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130847010 | 05 | |
| BCBSTX | 8AN558 | 01 | |
| BCBSTX | 8X8330 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528367505 | Olufunke T Odetunde | Registered Nurse | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2011-03-16 |
| Street Address |
2515 BUSINESS CENTER DR |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-2294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043867617 | Melanie L Hodges | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-08-19 |
| 1184287971 | Mary Keeler | Dietitian, Registered | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-04-17 |
| 1558824748 | Babylyn Castano Roos | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-04-13 |
| 1811455249 | Camille R Dumoit | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-03-05 |
| 1871050880 | Kasey Lee Matura | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2019-02-26 |
| 1134620909 | Tami Nicole Andrus | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2018-02-26 |
| 1740792175 | Christine Tran | Physician Assistant | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2017-10-25 |
| 1750891214 | Monica L Stout | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2017-10-10 |
| 1689116907 | Shanea Pearl Hall | Nurse Practitioner | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2016-11-17 |
| 1912361015 | Warren E Redfearn | Internal Medicine | 2515 Business Center Dr, Pearland, TX 77584 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1902413255 | Shayla Curtis | Family Medicine | 9720 Broadway St Apt 638, Pearland, TX 77584-8462 | 2020-09-29 |
| 1528674785 | Total Health Solutions, Pllc | Family Medicine | 11470 Broadway St Ste 110, Pearland, TX 77584-3376 | 2020-09-22 |
| 1881232445 | Binitha Santhosh | Family Medicine | 13313 Paxton Hill Ct, Pearland, TX 77584-5401 | 2019-12-13 |
| 1386108298 | Dongning Chen Md Pllc | Family Medicine | 2511 Sun Spot Ln, Pearland, TX 77584-3190 | 2019-01-24 |
| 1902319791 | Bolanle Adebola | Family Medicine | 2702 Royal Creek Ct, Pearland, TX 77584-1687 | 2017-11-15 |
| 1902283765 | Mercedes Giles | Family Medicine | 1853 Pearland Pkwy Ste 121, Pearland, TX 77581 | 2015-04-30 |
| 1811300882 | Darul Sehat, Pa | Family Medicine | 11601 Shadow Creek Pkwy # 111-139, Pearland, TX 77584-7283 | 2014-06-08 |
| 1780097121 | Jerryce Hudson | Family Medicine | 4320 Broadway St Ste 100, Pearland, TX 77581-4016 | 2014-06-03 |
| 1457771081 | Jiten Jayantilal Bhula | Family Medicine | 2421 Eagles Way, Pearland, TX 77581-5176 | 2014-04-22 |
| Find all providers in PEARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.