DR. OLUSEGUN ADESANYA ODUKOYA (NPI# 1235387416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235387416 |
| Entity Type | Individual |
| Full Name | DR. OLUSEGUN ADESANYA ODUKOYA |
| Credential | M.D |
| Practice Address |
11100 Euclid Ave Cleveland OH 44106-1716 |
| Mailing Address |
24701 Euclid Ave 3rd Floor Euclid OH 44117-1714 |
| Practice Telephone | 2168443944 |
| Practice Fax Number | 2168448974 |
| Enumeration Date | 2008-08-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
35.120134 | OH | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
TP891 | KY | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
4301093350 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000637130 | 01 |
| OH | 3009952 | 05 | |
| KY | RR MEDICARE | P00773148 | 01 |
| KY | 7100104620 | 05 | |
| KY | ANTHEM BCBS | 000000637135 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Kolbe Rd Ste 227, Lorain, OH 440531601 | 4409603304 | 4409604733 |
| Street Address |
11100 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899927 | Joel H. Elconin | Radiology | 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 | 2005-05-23 |
| 1386245207 | Dalal Hamad A Alsaggabi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-06 |
| 1922609809 | Melanie Wolf | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-05 |
| 1093313918 | Aryn Rose Pecoraro | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-10-13 |
| 1366058331 | Harun Abukar | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1740895960 | Sara Lyn Stefano | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-14 |
| 1063026052 | Meredith Barker | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-07 |
| 1124631114 | Luis Augusto Palma Dallan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-28 |
| 1023621216 | Stephanie Casto | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447526983 | Robert James Cromley II | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-03-29 |
| 1659838647 | Boerema and Thompson Compassionate Healthcare LLC | Family Medicine | 2700 Westside Dr Nw Ste 103, Cleveland, TN 37312-3699 | 2019-02-26 |
| 1982924924 | Sophia Michelle Reljanovic | Family Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2010-06-01 |
| 1396979233 | Paul Daniel Boerema | Family Medicine | 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312-3699 | 2009-05-06 |
| 1730230376 | Dann William Ganzhorn | Family Medicine | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2007-01-12 |
| 1326151655 | Dennis A. Thompson | Family Medicine | 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312-3699 | 2006-08-17 |
| 1003827858 | William Augustus Hays | Family Medicine | 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312-3699 | 2006-08-10 |
| 1508877341 | Allan C. Chastain | Family Medicine | 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312-3699 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217352 | Melissa Anne Peters | Family Medicine | 2041 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-26 |
| 1053941518 | Luciana Sonnenlitter | Family Medicine | 33703 Lake Rd, Avon Lake, OH 44012-1009 | 2020-01-23 |
| 1952950453 | Care Excellence LLC | Family Medicine | 3622 Belmont Ave Ste 20, Youngstown, OH 44505-1444 | 2019-09-06 |
| 1689027500 | Annemarie E Miller | Family Medicine | 26900 Cedar Rd. Beachwood Family Health & Surgery Cente, Beachwood, OH 44122 | 2016-07-15 |
| 1952708786 | Dr. Paul Wilson, Inc | Family Medicine | 440 S Reynolds Rd Ste B, Toledo, OH 43615-5900 | 2014-11-21 |
| 1568875409 | Integrated Healthcare LLC | Family Medicine | 222 Heathermere Loop, Galena, OH 43021-8053 | 2014-06-09 |
| 1184964389 | James William Ferraro II | Family Medicine | 750 E Broad St Ste 200, Columbus, OH 43205-1190 | 2013-02-25 |
| 1831418177 | Gary Lowell Whitacre | Family Medicine | 5555 Scarborough Blvd, Columbus, OH 43232-4730 | 2010-05-26 |
| 1346579315 | Daniel Allen Franklin | Family Medicine | 3976 Sandtrap Cir, Mason, OH 45040-2171 | 2009-12-21 |
| 1376879221 | Mvhe Inc | Family Medicine | 1685 S Main St, Suite 360, Springboro, OH 45066-1524 | 2009-10-28 |
| Find all providers with the same taxonomy | ||||
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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.