IBUKUNOLUWA OLUWAPELUMI PICKENS


Address: 301 Governors Dr Sw, Huntsville, AL 35801-5123
Phone: 2565514500

IBUKUNOLUWA OLUWAPELUMI PICKENS (NPI# 1356792790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356792790
Entity Type Individual
Full Name IBUKUNOLUWA OLUWAPELUMI PICKENS
Other Name IBUKUNOLUWA OLUWAPELUMI KUSIMO
Credential DO
Practice Address 301 Governors Dr Sw
Huntsville
AL 35801-5123
Mailing Address 12420 Milestone Center Dr Ste 200
Germantown
MD 20876-7111
Practice Telephone 2565514500
Mailing Telephone 2406862300
Enumeration Date 2016-06-27
Last Update Date 2020-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine DO.1739 AL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
380 Woods Cove Rd, Scottsboro, AL 35768 2562594444

Office Location

Street Address 301 GOVERNORS DR SW
City HUNTSVILLE
State AL
Zip Code 35801-5123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770565913 Laboratory Corporation of America Holdings Clinical Medical Laboratory 301 Governors Dr Sw, Ste 110, Huntsville, AL 35801-5123 2005-11-15
1316557754 Amani Bajunayd Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-07-31
1134738065 Muhammad Mohsin Zafar Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-07-27
1073134672 Joseph Alan Shaw Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-05-05
1457971988 Sawyer Mullen Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-24
1225658248 Robert Logan Staples Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-20
1982224085 Whitney Nicole Lee Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-20
1730709833 David Joseph Martinez Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-20
1255950994 Phillip R Ingram Jr. Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-13
1477172211 Lauren Taylor Beggs Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003422742 Elena Mihaela Kruse Nurse Practitioner 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 2020-09-18
1225657661 Ashley Danielle Ford Student in an Organized Health Care Education/Training Program 301 Governors Drive Se, Huntsville, AL 35801 2020-04-15
1407417702 Sasha J White Specialist 410 Governors Dr. Sw, Huntsville, AL 35801 2019-06-26
1003472978 Gina Marie Delgado Nurse Practitioner Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 2019-05-15
1366909863 Lisa Starkey Suggs Nurse Practitioner 3500 Memorial Parkway S.w., Huntsville, AL 35801 2019-02-21
1902373277 Kelly S Fisher LLC Counselor 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 2018-10-25
1073097911 Brittani B Hamrick Psychologist 203 Eastside Sq Ste C9, Huntsville, AL 35801 2018-09-17
1548748312 Jane O. Orton, Licsw, LLC Social Worker 120 Holmes Ave Ne, Huntsville, AL 35801 2018-08-02
1184100661 Regroup Psychological Services Psychologist 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 2018-07-17
1366968398 Bennett Brent Smith Physician Assistant 825 Adams St. Se, Huntsville, AL 35801 2017-08-22
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073930251 Rachel Michelle Giyanani Emergency Medicine 100 Washington St Ne, Huntsville, AL 35801-4860 2014-03-25
1720286115 Angelique A Andrews Emergency Medicine 813 Franklin St Se, Huntsville, AL 35801-4311 2007-07-06
1255465142 Ihc Health Services Inc. Emergency Medicine 3925 Snowbasin Rd, Huntsville, UT 84317 2007-03-15
1568548931 Jon Michael Owings Emergency Medicine 111 Jenni Leigh Dr Nw, Huntsville, AL 35806-2209 2006-10-28
1992720387 Walter D. Toronjo Emergency Medicine 521 I-h 45 S., Ste. 11, Huntsville, TX 77340 2006-07-13
1386680965 Benjamin B Bailey Emergency Medicine 3007d Memorial Pkwy Sw, Huntsville, AL 35801-5304 2006-06-21
1083658488 Madison S Crouch Emergency Medicine 5405 Whitesburg Dr S, Huntsville, AL 35802-1644 2006-06-15
1043252463 Brian J Kempton Emergency Medicine 540 Interstate 45 S, Huntsville, TX 77340-5720 2006-06-11
1841239654 Edward G. Witt Emergency Medicine 11220 Memorial Pkwy Sw, Suite Ab, Huntsville, AL 35803-4415 2006-06-06
1316994486 Henry Morel Gaillard Emergency Medicine 2222 Governors Bend Road, Health Services, Inc., Huntsville, AL 35801-1371 2006-05-27
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Competitor

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City HUNTSVILLE
Zip Code 35801

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Dataset Information

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.

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