IBIRONKE ODUYEBO (NPI# 1164576633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164576633 |
| Entity Type | Individual |
| Full Name | IBIRONKE ODUYEBO |
| Credential | M.D. |
| Practice Address |
7500 Challis Rd 2nd Floor Brighton MI 48116-9416 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 8102634000 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301116305 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4301116305 | MI | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
59209 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | JOHNS HOPKINS PROVIDER # | T1627 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
7500 CHALLIS RD 2ND FLOOR |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48116-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790734564 | Rajan Ravikumar | Allergy & Immunology | 7500 Challis Rd, 2nd Floor, Brighton, MI 48116-9416 | 2006-05-09 |
| 1346715299 | Chelsey Wood | Physical Therapy Assistant | 7500 Challis Rd, Brighton, MI 48116 | 2018-10-08 |
| 1902388689 | Meghann Christine Deering | Social Worker | 7500 Challis Rd, Brighton, MI 48116-9416 | 2018-08-30 |
| 1124506712 | Regents of The University of Michigan | Pharmacy | 7500 Challis Rd, Brighton, MI 48116 | 2018-08-06 |
| 1477031185 | Regents of The University of Michigan | Pharmacy | 7500 Challis Rd, Brighton, MI 48116 | 2018-08-03 |
| 1952895997 | Kelly Ann Hardy | Social Worker | 7500 Challis Rd, Brighton, MI 48116-9416 | 2018-06-21 |
| 1144711516 | Regents of The University of Michigan | Clinic/Center | 7500 Challis Rd, Brighton, MI 48116 | 2018-05-22 |
| 1770011108 | Jessica Lynn Ball | Physician Assistant | 7500 Challis Rd, 2nd Floor, Brighton, MI 48116 | 2017-05-30 |
| 1184157596 | Samantha Renee Gagnon | Optometrist | 7500 Challis Rd, Brighton, MI 48116-9416 | 2017-04-04 |
| 1639622541 | Donna Kallio Wolbers | Physician Assistant | 7500 Challis Rd, Brighton, MI 48116-9416 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
| 1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
| 1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
| 1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
| 1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| Find all providers in zip 48116 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427357656 | Christopher George Stallwood | Internal Medicine | 11 Nevins St Ste 402, Brighton, MA 02135-3514 | 2011-03-28 |
| 1245497312 | Sandeep Krishnan | Internal Medicine | 11 Nevins St Suite 402, Brighton, MA 02135 | 2008-05-16 |
| 1487649968 | Miguel Angel Zinny | Internal Medicine | 11 Nevins St. Suite 402, Brighton, MA 02135 | 2005-09-12 |
| 1427463132 | Aurada Cholapranee | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785561 | Digestive Health Clinic | Internal Medicine | 2486 Nerredia St Ste A, Flint, MI 48532-4807 | 2018-10-11 |
| 1053808550 | Dr. Allison Wood, Do Mph, Pllc | Internal Medicine | 4136 Legacy Pkwy Ste 100, Lansing, MI 48911-4293 | 2018-04-19 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1043698988 | Krishna Chaitanya Meka | Internal Medicine | 27301 Dequindre Rd Ste 314, Madison Heights, MI 48071 | 2015-05-12 |
| 1609260892 | Chia-yang Hsu | Internal Medicine | A. Alfred Taubman Health Care Center, 1500 East Medical Center Drive Room 3912, Ann Arbor, MI 48109 | 2015-03-25 |
| 1982015228 | Access Family Gastroenterology Pllc | Internal Medicine | G-1125 Linden Rd, Suite 500, Flint, MI 48532 | 2014-05-08 |
| 1740610401 | Gastrofit Pllc | Internal Medicine | 23500 Park St Ste 2b, Dearborn, MI 48124-2598 | 2013-11-17 |
| 1578908000 | Emily E Tommolino | Internal Medicine | 26850 Providence Pkwy Ste 510, Novi, MI 48374-1267 | 2013-05-10 |
| 1679917074 | Harold Joseph Tobes | Internal Medicine | 1205 Nakomis Trl, Lake Orion, MI 48362-1340 | 2013-04-29 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
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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.